Home

PCS CLINICAL AUDIT TOOL USER GUIDE PEN COMPUTER

1. 8 2 4 INTERNET CONNECTION E M RM RV PRU NU M ORENSE NS 9 2 5 MEMORY Uc 9 2 6 DISK SPACE 9 2 7 CLINICAL DESKTOP SYSTEM COMPATIBILITY 9 2 8 BEST 45 edu EMEN 10 2 9 GENTE REQUIREMENTS rissie NR RT RN suce e de RD Mase 10 3 INSTALLATION 11 3 1 INSTALLING TO A 5 2 22 de dinwcne s aie da nea d 14 3 2 INSTALLING TO TERMINAL SERVICES OR CITRIX en Stata Sn ROSES OSES EE SEE REE REGGE 14 3 3 PROXY SERVERS Dye RT ERE 15 3 4 USING CLINICAL AUDIT OFFLINE merce
2. RUNE Md Ede 52 7 2 10 1 BP MAPPINGS WITH CLINICAL SYSTEMS as Seana sisse sen messed nnn nn 52 7 2 11 MEDICATIONS eMe a fun iiu Ste aul HE Qa Td s neat eB bie KR MEE 52 7 2 11 1 MEDICATIONS MAPPINGS WITH CLINICAL 5 5 2 2 244 2 2 2 2 1 nnn nn 52 7 2 12 DIABETES SIP SERVICE INCENTIVE PAYMENT ITEMS eem eene eren e ee ene 53 7 2 12 1 CYCHE OF CARE BY 54 7 2 12 2 CARE BY PATIENT Sum xk ex ce Ex Suse acd ep cd Fig d RR 54 7 2 12 3 THE DIABETES SIP WORKSHEET sieve a scar rr bra a RE UNE MEER 55 7 2 12 4 DIABETES SIP MAPPINGS WITH CLINICAL SYSTEMS 2 4 a aa aa aan ran nnn nn 56 7 2 13 CARDIOVASCULAR EVENT RISK tuc mE Reo pEE RENI aM add 57 7 2 14 HMR HOME MEDICINES REVIEW Rupe D NA MEE 60 7 2 14 1 HMR MAPPINGS W
3. E 0 4358 lt 200 gt 79 3958 4191 142 150 ST Incomplete Data Values for Calculating CV Risk Court 7322 tora Bae I LEE Incomplete data This horizontal bar chart helps practice staff improve their data quality by identifying patients with missing data The Export button can be used for this purpose as described above Excluded data The number of patients that have been excluded is provided in order of exclusion category 20 gt 79 ATSI diabetic CVD Once a patient is excluded for meeting an exclusion category they are not counted for subsequent categories Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 59 of 110 PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER SYSTEMS 7 2 14 HMR Home Medicines Review The HMR tab filters out patients who are not on any medications The population figure on this tab is the number of patients who have current medications listed The HMR tab displays the current medication status by the number of medications per patient The number of medications is broken down 0 1 2 3 4 5 6 7 8 5 PES Clsical kudit Ck He BMI Pap Seem Lindt Creatinine 1 Diabeler SIP
4. 16 3 5 GAT LICENCE 2 1 alae 16 4 CAT USER 1 17 4 1 SETTING YOUR PREFERENCES MADRE 18 4 1 1 CHOOSING YOUR CLINICAL DESKTOP 5 2 2 22 2 2 44 2 a 19 4 1 2 CHOOSING A PREFERRED DATA FOLDER a a aaa asian naa an nn 21 4 1 3 CHANGING THE LICENCE KEY eoo nom yr RESO ENNIUS TIENI ERAI ND UNE ROREM NR EE 21 4 2 NAVIGATING THE CAT USER INTERFACE 2 donee sae dea d Nga NS BU E NT Ro 22 5 COLLECTING DATA 6 6 23 5 1 WHAT DATA 15 COLEECTED amp s DEN DK MAE 24 5 2 HOW 156 6 55 1 5 rcd eR sau 24 5 3 EXISTING DATA SET COMPATIBILITY WITH CHANGES
5. OL APPENDIX C 1 CONDITIONS DATA MAPPINGS 1 47 0 1 0 444 4 44 91 PREGNANCY IE FRU SE DUK FE Fel ord rete Yo NA 95 APPENDIX 2 MEDICATIONS DATA MAPPINGS 2 2 2 nnns 96 APPENDIX C 3 GENERAL DATA MAPPINGS 7 4 10 44 44 4 lt 99 APPENDIX C 4 DIABETES SIP DATA MAPPINGS 0 nnn nnn 102 APPENDIX D GENIE DATA 585 103 APPENDIX D 1 CONDITIONS DATA MAPPINGS 103 PREGNANCY 106 APPENDIX D 2 MEDICATIONS DATA MAPPINGS 2 1 107 APPENDIX D 3 GENERAL DATA MAPPINGS GENIE 242 2 2 2 1 14 444 4 44 1 4 00 0400 108 APPENDIX D 4 DIABETES SIP DATA MAPPINGS nnn nnn 110 Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 5 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 1 INTRODUCTION 1 1 Clinical Audit Tool CAT The Clinical Audit Tool
6. 1 COMPUTER SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE Cardiovascular gt CHD K74 K75 K76 K54 coronary insufficiency myocardial infarct AMI angina Angioplasty Atherosclerotic heart disease Blockage Coronary Artery Coronary CABG Heart Attack IHD Ischaemic Heart Disease Myocardial insufficiency NSTEMI PCTA Preinfarction syndrome gt Myocardial infarction K75 myocardial infarct AMI myocardial damage NSTEMI PCTA gt Hypertension K85 K87 Hypertension High Blood Pressure High BP Hypertensive Labile Blood Pressure Labile Hypertension Malignant Hypertension Primary Hypertension Essential Hypertension Renal Hypertension Renovascular Hypertension Refractory Hypertension OR patient is taking an anti hypertensive medication as per MIMS Section 2A Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 104 of 110 COMPUTER SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE gt Heart Failure K77 cardiac failure heart failure CCF Cor Pulmonale Left Ventricular failure LHF LVF Pulmonary Oedema RHF Right ventricular failure RVF gt Stroke K90 cerebral haemorrhage cerebrovascular accident CVA Haemorrhage intracerebral Haemorrhagic CVA Haemorrhagic stroke intracerebral bleed intracerebral haemorrhage Ischaemic stroke Lacunar stroke Stroke Thrombotic Stroke
7. Frat Medea eects 2 C Pyogran Fier MOW2 Coreibont Diabetes SIP Heres Congleted Geregapticr Algar imase Pap HzAlc Dubalar SIP tarce Evert Pish HNA Irearizafons Standard phon nln gera seal Lends GP teme Recorded tena Reensining Count of Diabetes SIP Items Completed Per Patient population 323 Ble does eot cortsin data EP and Foot Exar recorded the last 61 of Click the Worksheet button to get a list of the patients in any segment s of the graph and view the list as a Diabetes SIP Worksheet Print button click the Print button to print a copy of the graph Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 54 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER 1 SYSTEMS 7 2 12 3 The Diabetes SIP Worksheet Mosco 2 Si agin FINE By Diabetes Diabetes SP Hanes Congleted 9 Pap Haie BP Wadcwizes SIP C Evart Fisk ireuriabos
8. c Genel Mescatont Providers Gender Lost vish Postcode arsi Ay C mansi End Age D a ar O 15 c Snap shots Filters 7 Medical 2 CAProgam Fei NDWZ Smoking SHI Lows HbATO Nedicators Evert tk HNA P Expos 5 g A General Stew Tos Courts Demographic Breakdown Age Ferssies 0 Males 0 Other 0 UU Fevele Ne Reports SYSTEMS Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 22 of 110 1 COMPUTER SYSTEMS 5 COLLECTING DATA SETS PCS CLINICAL AUDIT TOOL USER GUIDE NOTE about how to do this Before you start collecting data sets ensure you have set up your preferences to point to the correct clinical desktop system for your practice See Setting Your Preferences for details A data set is collected by clicking the Collect button at the top left of the screen Once you click the Collect button you will see the status bar in the top right hand corner of the screen flashing while the data is retrieved from the clinical desktop system e Genie users please note that the data collection is performed from within the
9. COMPUTER SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1993 2009 PEN COMPUTER SYSTEMS LTD Version 2 3 PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER SYSTEMS DOCUMENT IDENTIFIER Clinical Audit Tool User Guide Document Release Date Created Modified By Revision Version 0 1 26 02 2007 Christine Chidgey Initial 0 2 08 03 2007 John Johnson Review and Comment 1 1 13 03 2007 Christine Chidgey Add Appendices for Conditions and Medications Mappings 1 2 25 07 2007 Christine Chidgey Updates for revised functionality and screens 1 3 07 08 2007 Christine Chidgey Add Cardiovascular Risk Calculator 1 4 24 09 2007 Christine Chidgey Updates for revised functionality and screens 1 5 24 09 2007 Christine Chidgey Update version number to match chm file 1 6 01 03 2008 Christine Chidgey Additional information included in various sections Add Home Medicine Review Updates to Appendices 1 7 23 06 2008 Christine Chidgey Updates to HMR for 0 meds Updates for Version 2 release 2 0 26 06 2008 John Johnston Reviewed 2 1 26 06 2008 Tarkan Shahho Reviewed 2 1 1 01 09 2008 Christine Chidgey Updates for new functionality Immunisations Data Summary Report Cross Tabulation Report 2 1 2 04 09 2008 Christine Chidgey Add revised screen shots for new functions 2 24 14 10 2008 Christine Chidgey Updates for NPI Reports 2008 09 Clarification of BP results 2
10. T 5 gt 808 and lt 100 766 3 gt 00 5 6 15 mcr Patients wen Dabetez whose last total Cholesterol within the last 12 676 15 months was lt 4 Patients wih Diabetas whose last seconded Stood Pressure reading within 2027 amp 12 morths was lt to 13200 mmt Patents with Disbetes who had a Semice bcentie Payment claimad far them wihis the last 12 months note ragusa entry SOROR men I Pann Patients wth whose recorded Blood Pressure EP within Ihe last 12 23 77 2 months was lt 14060 mmHg Patients wih CHD who have had a Myocardial infarction within the last 12 months Patients wi CHD who have had Myocandal infarcsos WI within the last 12 0 morths and who are Bota Blocker Owadmeision 1872007 aded rows provide denominatce figure 124 the parcertagar Report Run on Ano Pee Comguter Syrias Pty Lis 2107 Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 64 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 8 1 2 NPI National Performance Indicators Report The NPI Reports are available under the Standard Reports tab The NPI Reports are always derived from your full
11. Dee operon C O EE Patients Report Last Seen ee Yesh Females pem menm pem pee prem p p mI T I 1 Addens Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 37 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 7 2 Set Results Graphs and Reports Click the Hide Extracts and Hide Filter buttons to maximise the use of your screen for viewing results The tabs along the top of the results panel allow you to view various graphical representations of your data set 5 PCS Clinical Audit Fie Edt Help Collect View Extracts View Fiber View Pop Filter Becakulsle Demogschics Adages Smoking BMI Disease Pap Smear Lipids Creatinine BP Diabetes SIP hems Repeat These are Demographics e Allergies e Smoking e BMI Body Mass Index Disease e Pap Smear e Lipids includes Cholesterol HDL LDL Triglycerides Total Chol HDL Ratio e Creatinine includes ACR eGFR 1 e BP Blood Pressure e Medications e Diabetes SIP Service Incentive Payment Items CV Cardiovascular Event Risk e HMR Home Medicine Review e Immunisations includes Influenza Pneumococcal Gardasil Pertussis e Standard Reports o NPCC National Primary Care Collaboratives Report o NPI National Performanc
12. 12345678 Qt rera rie Dr A 029903 4685 w Feelgood 03 9094 V Prowler Sebo 6 8 1 Method of assigning a patient to a provider Medical Director Where there is more than one provider in the practice patients will be assigned to a particular provider based on which provider they were most frequently seen by in recent consultations Patients will be assigned to the provider who saw them for the highest number of consultations in the previous 18 months Where there is no consultation recorded in the previous 18 months the patient will be assigned to the provider who saw them most recently up to 5 years ago Where there is no consultation recorded in the previous 5 years no provider will be assigned Genie Genie will use the Usual Provider that is entered on the patient details screen Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 32 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER SYSTEMS 6 9 Saving Filter Criteria The Saved Filters tab allows a set of filter criteria to be saved as a named search Saved search names can be reloaded at a later time and run This gives the ability for practices to run the same filters over intervals of time and compare results Clinical Audit File Edt Help Collect View Extracts Hide Fiker Recakulate General Co
13. 66666 nnn nn 24 6 DATA FILTERING eesnusssuasshanuuusssausunaRrRRESRRREEREMRRRRRRRRERRRESSARRARRRRRRRAERRE 29 6 1 DATA FILTERING OVERVIEW 22x Raw xau RU PX RR ease 25 6 2 CHANGING FILTERS E 26 6 3 CLEARING FILTER G aaam 2 E quM DEN UNUM 26 6 4 DEMOGRAPHIC FILTERING vcs ai E oE tend For xoti e c tae he c ads aridus cni Grai ue Wr y Rn 27 6 4 1 DEMOGRAPHIC FILTER MAPPINGS WITH CLINICAL SYSTEMS 2 22 4112 5 28 6 5 MEDICAL CONDITIONS FILTERING menn d nie e a e cited ation pad 29 6 5 1 PREGNANCY LIT 29 6 5 2 MEDICAL CONDITIONS FILTER MAPPINGS WITH CLINICAL 5 5 2 020222 2 1040 0 29 6 6 MEDICATIONS FILTERING siirros nyina neue niox EEES ausa anmelden eoe e Rn 30 6 6 1 MEDICATIONS FILTER MAPPINGS WITH CLINICAL SYSTEMS 2 222 2 441 31 30 6 7 RESULTS FILTERING sacer x Anne RR N DUE DC FEN EE Kd vena ERR 31 6 8 PROVIDER FILTERING OA T E E A E EA E
14. Recetas tera liews Reidentify Report pationt count DIABETES SIP WORKSHEET y nt 5 tems en e Harbe of Patents The worksheet shows a in the column of each item which has been completed for a patient In this example we have picked patients that have 9 items completed Patient Rridentificatian Reidentty Report patient count 13 DIABETES SIP WORKSHEET i a By Condilions Diabetes Yes Selected Diabetes SIP Items a a First Name Ku 0140171960 eee EEE EEE EEE NOTE Old Extract Files will only have a possible maximum of 10 items counted BMI BP and Foot items in the last 6 12mths have not been collected Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 55 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i When claiming a SIP payment you should always check all requirements have been met in your clinical software system 7 2 12 4 Diabetes SIP Mappings with Clinical systems The Diabetes SIP mappings are provided in the Diabetes SIP Data Mappings Appendices for each Clinical application Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 56 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 7 2 13 CV Cardiovascular Event Risk The CV Event Risk graph displays your data as the risk of a Cardiovas
15. Artoa Prot Condens WM Yaa 1 att ca 12 nthe Hosea Directs 2 C Progen Fies MOW2 By Cordon Disbetes Active Patent aeger Smoking UNI Pap Se Ciesinine UP Medicahns Tera OV Everi HWA Report To load a saved filter e Click Saved Filters tab e Click on the filter name required e filter details will be loaded into the other filter tabs and will display at the top of the Results panel The Rec lculate button will turn red 5 Clinical Audit Condices Saved Fiber ACTIVE PRACTICE POPULATION ADULT HEALTH CHECKS ANTENATAL REGISTER ASTHMA NOGSICN HOT ASPIRIN CHD PATIENTS NOT BETA BLOCKERS CR DIURETICS 4543 Ferno By Ape gt 45 Age 49 Actas Patent By Actes Paart Cancion Pregnancy Yez y Condon Partea Yes Fieri By Active Lak lt 12 mths Conditions adosida Ves arprn Na By Actes Cadac Mediostioni 2 Bets CHILDREN 370 12 YEARS CF AGE Fierro By Age 3 Age ce 12 Actio Patient COAZETES PATIENTS REQUIRING DIAGNOSIS
16. P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 7 2 5 1 Disease Mappings with Clinical systems The conditions disease mappings are provided in the Conditions Data Mappings Appendices for each Clinical system Note that some conditions are flagged as true for a patient if the patient has ever had the condition ie the condition forms part of the patient history but is not currently listed as active eg heart disease Check the appendix for your Clinical system for details about how different conditions are collected 7 2 6 Pap Smear The pap smear tab automatically filters out the male population The population figure displayed on this tab is the number patients in your filtered dataset with gender female or other Pap Smear displays your data as a breakdown of Pap Smear Recorded Pap Smear Recorded No Pap Smear Recorded Ineligible e Pap Smear Done Date where Pap Smear Recorded lt 1 1 2yrs 2 3yrs 3 4yrs gt 4yrs The category of Ineligible includes Medical Director all patients who have a hysterectomy condition recorded Best Practice all patients with tick box Not Required checked Genie all patients marked don t recall The data is displayed as a pie chart Functions available are as described for Allergies 7 2 6 1 Pap Smear Mappings with Clinical systems The pap smear mappings are provided in the General Data Mappings Appendices for each Clinical application
17. Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 49 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 7 2 7 Lipids Lipids displays your data as a breakdown of Cholesterol 4 0 gt 4 0 and lt 5 5 gt 5 5 and lt 6 5 gt 6 5 and lt 7 5 7 5 No Cholesterol Recorded HDL lt 1 0 gt 1 0 and lt 2 0 gt 2 0 No HDL Recorded LDL lt 2 5 gt 2 5 and lt 4 0 gt 4 0 No LDL Recorded Triglycerides lt 2 0 gt 2 0 and lt 4 0 gt 4 0 No Triglycerides Recorded Total Chol HDL Ratio lt 3 5 gt 3 5 and lt 5 0 gt 5 0 No Total Chol HDL Ratio Recorded The data is displayed as a pie chart Functions available are as described for Allergies 7 2 7 1 Lipids Mappings with Clinical systems The lipids mappings are provided in the General Data Mappings Appendices under Measurements for each Clinical application If there are results for Cholesterol HDL LDL and or Triglycerides then the most recent values will be displayed If there are results for HDL and cholesterol is recorded the most recent values will be used by CAT to display the Chol HDL ratio Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 50 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER SYSTEMS 7 2 8 Creatinine Creatinine displays your data as a breakdown of e ACR Microalbumin Creatinine Ratio lt 3 5 Normal gt 3 5 Abnormal No Microalbumin No Creatinine No
18. Herbe of tet the Priora Porr Score PARR Pare Ld Export button functions are as described for BMI by selecting the high risk sections of the bar chart and clicking the Export button a list of the patients that make up this group can be obtained This provides valuable information for practice staff working to improve chronic disease management and prevention The information can also for example be used to substantiate the 45 49 year old health check Print button click the Print button to print a copy of the graph Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 58 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER 1 Within the eligible population a patient may have incomplete results for the data items used in the calculation The risk therefore cannot be calculated for these patients This data is displayed under the tab e Excluded and Incomplete Excluded patient details Incomplete patient details Clink idi ye f vet 445 erras Ress 3 MeSeol Dieci 2 C Program 2 Demogaphsce Meses BNI Pap Ses Lido Creatinine Diabetes SIP leno OV Evert RIR
19. All numbers and percentages Percent 757 1745 1058 149 3280 100 Aboriginal Torres Strait Islander origin numbers ATSI 1 0 0 0 1 32 20 3 0 0 0 Non ATS Origin missing Patient Count 13341 Printed 15 10 2008 10 41 AM Cinical Audit 2201 Pen Computer Systems Pty Lid Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 65 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER SYSTEMS 8 1 3 Summary Report Card The Summary Report Card is available under the Standard Reports tab This report provides an instant snapshot of GP data quality across most of the graphs provided This means the user doesn t have to go to each tab and write the figures down The report can be exported to Excel so the user can create a month by month set of figures if they choose Note the user needs to collect new extract files for each monthly report The user can also use the filters to target specific populations This report is found under the Standard Reports tab gt Summary Report Card tab Chinen Audit Colact Men Viens Fidar Pos Medel 2 C Progen MD ap Sew Loide Cresinine Hasto BP Mews CV Event HMR 5157050 Repone Fractica Name PENMLB 01 CAT Summary Re
20. Microalbuminuria Enhanced Primary Care gt Diabetes Cycle of Care Smoking Open gt Alcohol and Smoking History gt Tobacco PCS CLINICAL AUDIT TOOL USER GUIDE 13 4 APPENDIX C 4 DIABETES SIP DATA MAPPINGS BP Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 102 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 14 APPENDIX D GENIE DATA MAPPINGS 14 1 APPENDIX D 1 CONDITIONS DATA MAPPINGS GENIE An next to the CAT category indicates that Genie checks current problems and past history Note Where ICPC Codes are not being used Genie checks the problem text and some patient medications to determine if a condition exists these are noted against the category CAT Category Genie Condition Mapping either of the following columns ICPC Code Problem Text Diabetes Requires Diabetic box to be ticked and one of the codes or text below Type II T90 NIDDM Type 2 Type II Non insulin dependent TypeI T89 IDDM I Insulin dependent Juvenile onset Undefined diabetic Diabetic box ticked and not in Type I or II above Respiratory gt Asthma R96 Asthma gt COPD R95 COAD COPD Chronic Airways Limitation Chronic Bronchitis Chronic Obstructive Airways Disease Chronic Obstructive Pulmonary Disease Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 103 of 110
21. Genie Mapping HbAic Patient Record Main tab Contacts panel view the Consultation Record Eye Exam Patient Record Main tab Contacts panel presenting problem Referral to Ophthalmologist OR eye exam BMI Patient Record Main tab Contacts panel view the Consultation Record BP Patient Record Main tab Contacts panel view the Consultation Record Foot Exam Patient Record Main tab Contacts panel presenting problem Referral to Podiatrist OR foot exam OR feet exam Cholesterol Patient Record Main tab Contacts panel view the Consultation Record Triglycerides Patient Record Main tab Contacts panel view the Consultation Record HDL Patient Record Main tab Contacts panel view the Consultation Record Microalbuminuria Patient Record Main tab Contacts panel view the Consultation Record Smoking Patient Record Main tab Smoking tick box Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 110 of 110
22. Mental Health Depression P76 Depressive Depression Affective disorder OR patient is taking an anti depressant medication as per MIMS Section 3D Anxiety PO1 P74 Anxiety OR patient is taking an anxiolytic as per MIMS Section 3B gt Schizophrenia 72 Schizophreni Bone Disease gt Osteoporosis L95 osteoporo osteopaenia osteopenia steroid osteopathy Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 105 of 110 SYSTEMS p E PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i gt Osteoarthritis L83 osteoarthritis L84 osteoarthrosis L89 spondylosis L90 191 192 gt Hyperlipidaemia T93 Dyslipidaemia High cholesterol Hypercholesterolaemia Hyperlipidaemia Hyperlipoproteinaemia OR patient is taking a lipid lowering agent as per MIMS Section 2F 14 1 1 Pregnancy Pregnancy is not currently collected by Genie Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 106 of 110 COMPUTER SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 14 2 APPENDIX D 2 MEDICATIONS DATA MAPPINGS GENIE CAT Category Genie Mapping MIMS Class ID Class Name ARB 405 Alpha blockers quinazoline derivatives 838 Alpha blockers benzenesulfonamides ACE Inhibitors 189 Angiotensin converting enzyme inhibitors Aspirin 39 Sal
23. PCS Clinical Audit Fie Edt View Extracts View Firer View Pop Recskulste C Fiterng Females Conditions Acthrea Demographics Smoking BMI Disease Pap Smear Lipids Creatinine 1 BP Medications Diabetes SIP hems O Show Emot Pi Allergy Status population 204 Allergy Recorded No Known Alleegies ED Noting Recordes 121 No Known Allergies 17 Nething Recorded 46 Allergy Recorded Show Percentage checkbox click this checkbox to display the percentage in each group rather than the count 59 3 No Known Allergies Uncheck this checkbox to display count Export button if you click on any segment of the pie chart it will become highlighted and the Export button in the right hand corner of the results panel will become active You can select more than one segment of the pie Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 42 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE d SYSTEMS Highlighted segment of pie chart Export button active PCS Clinical Audi Fiteting Females Conditions Asthma Ale Smoking BMN Disease Pap Lipids Ciesinne HBATo BP Medications Diabetes hems Allergy Status population 204 Allergy Recorded N
24. CAT analyses clinical information from GP Clinical Desktop Systems It translates data into real statistical and graphical information that is easy to understand and action This allows practitioners to assess and improve the quality and completeness of patient information The benefit to the practice is to assist with its ongoing accreditation and provide opportunities to grow practice income The emphasis of the tool is to help practice staff to take specific action to improve patient coverage in chronic disease management and prevention Other benefits of CAT are many and include e targeting patients with particular needs e targeting patients with specific health risk profiles e improved compliance with statistical data collections e extracting data to meet the needs of others e meeting reporting requirements Statistics that are required for the Australia Primary Care Collaboratives APCC program and the DoHA Future Directions Key Performance Indicators for Divisions are a by product of the use of the system 1 2 User Guide The purpose of this document is to provide instructions on how to install and use the functionality provided by the CAT 1 3 Notes about this User Guide This User Guide describes the use of the PCS Clinical Audit Tool with reference to the HCN Medical Director Best Practice and Genie Clinical Desktop Systems Wherever Medical Director is used in this document we are referring to the Health Communications Network Medical
25. LVF Left ventricular failure Pulmonary oedema RHF Right heart failure Right ventricular failure RVF Right ventricular failure Stroke Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 78 of 110 1 COMPUTER SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE Cerebral Haemorrhage Cerebrovascular Accident CVA Cerebrovascular Accident Haemorrhage intracerebral Haemorrhagic CVA Haemorrhagic Stroke Intracerebral bleed Intracerebral haemorrhage Ischaemic Stroke Lacunar Stroke Migranous Stroke Stroke Stroke Haemorrhagic Stroke Ischaemic Stroke Lacunar Stroke Migranous Stroke Thrombotic Thrombotic Stroke Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 79 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i Mental Health Depression Anxiety Depression Depression Endogenous Active only conditions Depression Major are collected Depression Minor Depression Post Natal Depression Reactive Depression recurrent Depressive anxiety disorder Endogenous depression Melancholia Mixed anxiety depressive disorder Organic depression Post Natal Depression Reactive depression Anxiety Anxiety Anxiety Generalised Anxiety Social Anxiety disorder Anxiety feeling Anxiety neurosis Anxiety phobia Anxiety Depression Depressive anxiety disorder Feeling anxious GAD Generalised A
26. PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 2 SYSTEM REQUIREMENTS The minimum and recommended system requirements to be able to run the Clinical Audit tool are provided in this section 2 1 Operating System Clinical Audit runs under the following environments Microsoft Windows VISTA Microsoft Windows XP Professional Microsoft Windows 2003 Server Microsoft Windows 2003 R2 Server 2 2 Microsoft NET Framework PCS Clinical Audit requires the Microsoft NET Framework version 2 0 to be installed prior to installing PCS Clinical Audit This can be downloaded from aabl5cse04fs amp displavlang en How to check which version of NET you have installed Method 1 Go to Start Control Panel Open Add or Remove Programs Check to see that Microsoft NET Framework 2 0 appears in the list Method 2 Using windows explorer Local Disk C Locate the systemroot Microsoft 3 Cy wINDOWS folder T The systemroot is found under your zi 3 Microsoft NET drive and will usually be named zi 3 Framework WINDOWS or WINNT v1 0 3705 i 1 4322 The versions that are installed will be C3 v2 0 50727 listed by folder 2 3 Internet Explorer To install PCS Clinical Audit you must use Internet Explorer version 5 5 or later Clinical Audit can be installed by going to the following URL http www pencs com au ClickOnce ClinicalAudit publish htm Version 2 3
27. 3 1 09 12 2008 Christine Chidgey Updates for version 2 3 release and in particular to 1 add a Results Date filter 2 provide ability to save filter criteria 3 improve Diabetes SIP graphs Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 2 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER SYSTEMS 1 1 1 CLINICAL AUDIT TOOL dade 6 1 2 USER GUIDE 6 1 3 NOTES ABOUT THIS USER GUIDE ese eC cedet Mc nre RE SUD NR REF 6 1 4 DEFINITIONS ACRONYMS AND ABBREVIATIONS misir sasoi etin ENa ge Grec 7 2 SYSTEM 6 8 2 1 OPERATING SYSTEM 5 8 2 2 MICROSOFT FRAMEWORK a r AERE rei d 8 2 3 INTERNET EXPLORER
28. Dewa NPCC Reper Evert Pish Medediec Pe Paari Show Perceresge Currern Medication Status Medicascns per Patient population 7496 mecs 1 390 wis 1 mad gt 5 354 fh Cath 9e meds e vf 4 meds 351 with 5 mede 706 wif mede 774 7 tede 2 2 wit 53109480 S The data is displayed as a pie chart Functions available are as described for Allergies Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 60 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i SYSTEMS Exporting the data to a patient list for HMR will show you exactly how many medications a patient is on Patient Reidentification n Code 47 1 Address St Sydney 2110 55551234 5555 05523458 122456769 9999 0 0 E Address St Sydney 5555 1234 123456769 E 0 0 fer quem MEM JC al imer qeu em mew zem i discs UU NU o AR ipee ome ee veers S qme s LO 2066 5555 1234 Remind at Consult Exporting this list to Excel will allow you to sort the data by medication count allowing you to target patients on the greatest number of medications 7 2 14 1 HMR Mappings with Clinical systems Medications are flagged as true if they are on the p
29. Diabetes Diabetes controlled Diabetes Unstable Diabetes Mellitus Diabetes with Vascular Changes Diabetic Endarteritis Diabetic Peripheral Vascular Disease Diabetic Vascular Disease Peripheral Unstable Diabetes Respiratory Asthma Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 75 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i Active only conditions are collected Acute severe asthma Allergy induced asthma Asthma Asthma Allergy induced Asthma Chronic Persistent Asthma Exercise induced Asthma Frequent Episodic Asthma Infective exacerbation Asthma Infrequent Episodic Bronchial asthma Exercise induced asthma Exertional asthma Status asthmaticus Wheezy bronchitis COPD Chronic Airways Limitation Chronic Bronchitis Chronic Obstructive Airways Disease Chronic Obstructive Pulmonary Disease COAD COAD Chronic Obstructive Airways Disease COPD Chronic Obstructive Pulmonary Disease Cardiovascular CHD Acute coronary insufficiency Acute myocardial infarction AMI Acute Myocardial Infarction Angina Angina pectoris Angina pectoris Prinzmetal Angina pectoris unstable Angioplasty coronary Angioplasty coronary with stent Anterior myocardial infarct Anterolateral myocardial infarct Atherosclerotic heart disease Balloon coronary angioplasty Blockage Coronary Artery Bypass coronary
30. Diabetes Record gt Add Values OR Pathology HL7 results LDL Clinical gt Diabetes Record gt Assessment OR Pathology HL7 results Triglycerides Clinical gt Diabetes Record gt Add Values OR Pathology HL7 results Creatinine Clinical gt Measurements gt Add Values OR Pathology HL7 results Microalbinuria Clinical gt Measurements gt Assessment OR Pathology HL7 results HbAic Clinical gt Diabetes Record gt Add Values OR Pathology HL7 results BP Clinical gt Diabetes Record gt Add Values OR Tools gt BP Monitor gt Sitting Diseases Medical Director Mapping Condition Past History screen gt Checks the condition selected on history items where Conditions are selected from a coded list Refer to the Appendices for a list of conditions mapping to each CAT condition PCS CLINICAL AUDIT TOOL USER GUIDE Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 88 of 110 SYSTEMS 1 COMPUTER Pap Smear Medical Director Mapping 1 Female Patient Record gt Smears tab Recorded An entry is present on the tab Done Date Date of most recent entry 2 Pathology HL7 Results Recorded True if a result exists Done Date Date of test result Medications Medical Director Mapping Medication Current Rx screen gt Checks the Drugs listed where Drugs are selected from a coded lis
31. I or Type II recorded Tick the Diabetes Type I NO checkbox Tick the Diabetes Type II NO checkbox Tick the Diabetes Undefined checkbox Click the Recalculate button Click the View Pop Button The Patient report for this filtered group will no primary Diabetes diagnosis recorded Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 70 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i SYSTEMS iii 10 FURTHER INFORMATION For further information about the Clinical Audit Tool contact PEN Computer Systems Head Office Pen Computer Systems Pty Ltd Level 6 10 14 Smith St PARRAMATTA NSW 2150 Phone 61 2 9635 8955 Fax 61 2 9635 8966 Email enquiries pencs com au Web www pencs com au Melbourne Office Pen Computer Systems Pty Ltd Level 5 434 St Kilda Road MELBOURNE VIC 3004 Phone 61 3 9866 8477 Fax 61 3 9866 5699 Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 71 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER SYSTEMS 11 APPENDIX A GENIE DATA COLLECTION For Genie users the data set collection is performed from within the Genie software application Clicking the CAT Collect button at the top left of the screen will provide you with the summary steps on how this is done within Genie The Data Collection is done in Genie please follow these steps Open Genie Click on File gt Maintenance amp Reports Click the Other Reports tab Click t
32. No No Date Ot ens IRL sette De type C e C Ow O inpren O INL ML Condes Selecting Conditions by ticking the boxes will limit your data to look at only patients that match all the conditions ticked Condition Yes no selection You can select to filter by patients that e Have a condition tick the Yes box e Do not have a condition tick the No box If you tick one of the main condition headings bolded the sub heading selections will not be available and all patients matching that broad condition will be selected 6 5 1 Pregnancy Pregnancy is included under the conditions filter Ticking this as Yes will give you a list of the patients who are currently flagged as pregnant in the Clinical System Check the appendix for your Clinical system for details about how this is checked 6 5 2 Medical Conditions Filter Mappings with Clinical systems The conditions filter mappings are provided in the Conditions Data Mappings Appendices for each Clinical system Note that some conditions are flagged as true for a patient if the patient has ever had the condition ie the condition forms part of the patient history but is not currently listed as active eg heart disease Check the appendix for your Clinical
33. O D coe D coro e Selecting Medications by ticking boxes Yes or No will limit your data to look at only patients that match the medication status selected Medication Yes no selection 6 6 1 Medications Filter Mappings with Clinical systems The medications filter mappings are provided the Medications Data Mappings Appendices for each Clinical system Medications are flagged as true if they are on the patient s current medication list The collection process does not make any decisions about whether a medication should actually have been removed from the current medication list The GP is responsible for making sure the list of medications is accurate Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 30 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER SYSTEMS 6 7 Results Filtering Clinical Audit DEAR File Edt Seine General Conditions Medications Last Recorded Result The dale range selected wil filler out results that not within the selected period and treat them as recorded This fiker is only applicable to some repoits lt 6 mths lt 12 mths 224 mhs Date Range Irom to 03 08 2008 03 09 2008 This filter allows the user to view the last recorded result that falls within a specified time period or date range By selectin
34. Osteopenia Osteoporosis Osteoporosis steroid induced Steroid induced osteoporosis Steroid osteopathy gt Osteoarthritis Ankle osteoarthritis Cervical spine osteoarthritis Hip osteoarthritis Hip osteoarthrosis Knee osteoarthritis Knee osteoarthrosis Lumbar spine osteoarthritis OA Osteoarthritis Osteoarthritis in neck Osteoarthritis cervical spine Osteoarthritis in fingers Osteoarthritis in hand Osteoarthritis in lumbar spine Osteoarthritis of ankle Osteoarthritis of hip Osteoarthritis of knee Osteoarthrosis Other gt Hyperlipidaemia Dyslipidaemia Familial hypercholesterolaemia Hyperlipidaemia Hyperlipidaemia type 2 Hyperlipoproteinaemia Type 2 13 1 1 Pregnancy Pregnancy is true if the patient has a current pregnancy under the Obstetrics tab Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 95 of 110 1 COMPUTER SYSTEMS 13 2 APPENDIX C 2 MEDICATIONS DATA MAPPINGS BP CAT Category Best Practice Mapping Generic Name ARB Candesartan Cilexetil Candesartan Cilexetil Hydrochlorothiazide Eprosartan Mesylate Eprosartan Mesylate Hydrochlorothiazide Irbesartan Irbesartan Hydrochlorothiazide Losartan Potassium Olmesartan medoxomil Olmesartan medoxomil Hydrochlorothiazide Telmisartan Telmisartan Hydrochlorothiazide ACE Inhibitors Captopril Enalapril Maleate Enalapril Maleate Hydrochlorothiazide Fosinopril Sodium Fosinopril
35. Sodium Hydrochlorothiazide Lisinopril Perindopril Arginine Perindopril arginine Indapamide hemihydrate Perindopril Erbumine Perindopril erbumine Indapamide hemihydrate Quinapril Quinapril Hydrochlorothiazide Ramipril Ramipril Felodipine Trandolapril Trandolapril Verapamil Aspirin Aspirin Aspirin Glycine Dipyridamole Aspirin Beta Blockers Atenolol Bisoprolol fumarate Carvedilol Labetalol Hydrochloride Metoprolol Succinate Metoprolol Tartrate Oxprenolol Hydrochloride Pindolol Propranolol Hydrochloride Sotalol Hydrochloride PCS CLINICAL AUDIT TOOL USER GUIDE Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 96 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i Calcium Antagonists Amlodipine Amlodipine Besylate Amlodipine besylate atorvastatin Amlodipine Maleate Diltiazem Hydrochloride Diltiazem Hydrochloride Controlled Delivery Felodipine Lercanidipine Hydrochloride Nifedipine Ramipril Felodipine Trandolapril Verapamil Verapamil Hydrochloride Diuretics Bendrofluazide Bumetanide Candesartan Cilexetil Candesartan Cilexetil Hydrochlorothiazide Diazoxide Enalapril Maleate Hydrochlorothiazide Eprosartan Mesylate Eprosartan Mesylate Hydrochlorothiazide Ethacrynic Acid Fosinopril Sodium Hydrochlorothiazide Frusemide Hydrochlorothiazide Hydrochlorothiazide Amiloride Hydrochlorothiazide Triamt
36. Using Internet Explorer and go to the URL http www pencs com au clickonce clinicalaudit publish htm Note ClickOnce technology is not compatible with FireFox Click the Install button 7 PCS Clinical Audit Windows Internet Explorer pencs com sufckchencefdnicsleudtipusleh hem gt lt EHE Google Gl 9 P Check Ark Tason ap Sendtor 0 settings e aou Ri Om Pen Computer Systems E PCS Clinical Audit l Name PCS Clinical Audit Version XXXXX Publisher Pen Computer Systems Internet 410 2 The application will launched Launching Application Verifying application requirements This may take a Few moments Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 11 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER SYSTEMS You will be provided with some security information about the application Click the Install button to continue with the install Application Install Security Warning Do you want to install this application Name PCS Clinical Audit From www pencs com au Publisher Pen Computer Systems Pty Ltd While applications from the Internet can be useful they can potentially harm your computer IF you do not trust the source do not install this software More Information A dialog box will display showing yo
37. change the license key unless you are specifically provided with a new one by PCS Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 18 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 4 1 1 Choosing your Clinical Desktop System Once you have selected your Clinical Desktop System from the Clinical Audit tab click the tab for that Clinical Desktop System to enter further values Medical Director 2 Click the browse button to locate the database directory 5 Clinical Audit Preferences SE Clinical Audit Genie Database Directory C Program Files MDW2 Medical Director 3 Select your database configuration from the drop down list These will match the configurations you have available through the HCN Maintenance icon on your desktop Clinical Audit Preferences PEE Clinical Audit Medical Director 2 Medical Director 3 Best Practice Genie Database Configuration HCN tive Data Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 19 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i SYSTEMS Best Practice Select either Live Data or Sample Data from the drop down list Clinical Audit Preferences Clinical Audit Medical Director 2 Medical Director 3 Best Practice Genie Database Configuration Live Data Genie There is no further set up for Gen
38. set click on the entry for that data set It will become highlighted and you will see the status bar in the top right hand corner of the screen flashing while the data is reloaded from the snap shot into Clinical Audit 5 1 What data is collected Data is only collected for patients who are active in your Clinical system Data for patients who are deceased or have been made inactive is not collected This means when you are analysing your data using CAT you are only seeing patients who are currently marked as active in your Clinical system You may find patients in CAT that you know are no longer active at your practice If you inactivate them in your Clinical system they will be excluded from future data collections 5 2 How is the data stored The collect saves 2 xml data files to your preferred data folder One file is pure Clinical data and has no identifiable patient information This is called the DATA file The other file is the LINK file and contains all the patient identifiable data The LINK file is only used when you want to re identify a list of patients that make up a segment of a graph In your preferred data folder the files look like this Name Size Type Date Modified MedicaMicrodats DEIDENTIFIED TESTMEDICAL 20080401 7496 v1_1 ink xml 3 240 Document 10 4 2008 1 21 MedicalMirrodata DEIDENTIFIED TESTMEDICAL 20080401 7498 v1_2 data xml 14 921 KB Document 10 4 2008 1 21 PM 5 3 Existing data set co
39. small number of patients for follow up and only wish to print those you are targeting gt Click the Refine Selection button gt From the pop up list of patients untick those you do not wish to target gt Click OK Refine Selection button E Patpat Reeidentification Exit 4 Patlonts Report Age Conditions Asthma Yes Females Patient Selection Don 22 806 17097925 505795 12027035 21025527 1205700 E 8 E Sext x 5 Patient Resdentificetion Reidentity Patlonts Report Age Filtering Conditions Asthma Yes Femalus Eme uessw ramess a0 AS 21081927 1 Adress t Srey 049 Mrwywn 1205492 Sr 5 Fihering By Conditions Asthma Yes Females Extract Details Medica Director version 2 Extract Dale 1006 2008 Patient Court 11776 Printet 25 06 2000 11 24 Clinical Audin Not lt 201 25 Pen Computer Syston Pty Ud Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 41 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 7 2 2 Allergies Allergies displays your data as a breakdown of allergy status Allergy Recorded No Known Allergies Nothing Recorded The data is displayed as a pie chart The patient count in each allergy status group is displayed for each segment of the pie chart
40. 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 47 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 7 2 5 Disease Disease is displayed as a count the number of patients that have the disease and the prevalence in the population The Disease Prevalence is calculated by identifying the number of patients with a specific disease diagnosis and expressing it as a percentage of the total population The disease categories are the same as the conditions provided in the conditions filter The data is displayed as e Count per condition in a bar chart e Prevalence per condition as a percentage of this population in a bar chart A bar is also provided on the chart for patients that have None of these disease categories This is provided to assist practices in targeting patients for preventative care and miscoding Venere 3 Mecal 2 Files MOW2 Fhein By Active Paler EN Diewe Pao Loide Ossians Holo Medication Disbeles SIP Revs Ov Evert Ric binanestions Standa Repont Prevalence Total Count of Disease Cases population 5094 Nurter cf Putieats Export button functions as described for BMI Print button click the Print button to print a copy of the graph Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 48 of 110 SYSTEMS
41. 66 nnn 44 7 2 3 SMOKING Drm 44 7 2 3 1 SMOKING MAPPINGS WITH CLINICAL 5 5 2 2 01 6 aaa 44 7 2 4 up v E 45 7 2 4 1 BMI MAPPINGS WITH CLINICAL SYSTEMS esse guess 47 7 2 5 cf cM 48 7 2 5 1 DISEASE MAPPINGS WITH CLINICAL 5 5 1 2 24 a a aaa aaa aan 49 7 2 6 oae doe T T 49 7 2 6 1 PAP SMEAR MAPPINGS WITH CLINICAL 5 5 aria hada aaa aaa rana nn nnn nn 49 7 2 7 ER t E UE TE UU E 50 7 2 7 1 LIPIDS MAPPINGS WITH CLINICAL SYSTEMS 22 22 2 22 rana aaa aa aaa aas nnn nn 50 7 2 8 CREATININE eile UA eaten 51 7 2 8 1 CREATININE MAPPINGS WITH CLINICAL SYSTEMS 222 2 444 4 51 7 2 9 ABA Hem 52 7 2 9 1 HBA1C MAPPINGS WITH CLINICAL 5 5 222 2 2 4 41 5 rana nnn nn 52 7 2 10
42. CABG Coronary Artery Bypass Graft Coronary Angiography and Stent Coronary artery balloon angioplasty Coronary artery bypass graft Coronary artery disease Coronary artery disease Rehabilitation Coronary artery endarterectomy Coronary artery spasm Coronary artery stent Coronary artery surgery Coronary heart disease Coronary insufficiency Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 76 of 110 1 COMPUTER SYSTEMS Coronary Occlusion Heart attack IHD Ischaemic Heart Disease Inferior myocardial infarction Ischaemic heart disease Myocardial Damage Myocardial infarction Myocardial infarction anterolateral Myocardial infarction inferior Myocardial infarction posterior Myocardial infarction subendocardial Myocardial infarction superior Myocardial Infarction with ST elevation Myocardial Infarction without ST elevation Myocardial insufficiency NSTEMI Non ST Elevation Myocardial Infarction Occlusion Coronary Artery PCTA Percutaneous transluminal angioplasty Posterior myocardial infarct Preinfarction syndrome Prinzmetal angina STEMI ST Elevation Myocardial Infarction Stent coronary artery Subendocardial myocardial infarct Superior myocardial infarct Surgery Coronary artery Surgery Coronary artery balloon angioplasty Surgery Coronary artery bypass graft Surgery Coronary artery endarterectomy Surgery Coronary artery stent Unstable Angina Unstable An
43. Daily Smoker Smoker Smoker is selected Irregular Smoker This option is not captured in Best Practice Ex Smoker Smoker Ex Smoker is selected Never Smoked Smoker Never smoked is selected Nothing Recorded Smoker has nothing selected Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 99 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i Triglycerides Measurements Best Practice Mapping BMI Patient Record gt Main Patient Screen gt Observations screen Cholesterol Lipids data HDL Patient Record gt Main Patient screen gt LDL Enhanced Primary Care gt Diabetes Cycle of Care screen Creatinine Patient Record gt Main Patient screen gt Enhanced Primary Care gt Diabetes Cycle of Care screen Microalbinuria Patient Record gt Main Patient screen gt Enhanced Primary Care gt Diabetes Cycle of Care screen HbAic Patient Record gt Main Patient screen gt Enhanced Primary Care gt Diabetes Cycle of Care screen BP Patient Record gt Main Patient screen either opening the Observations screen or opening the Enhanced Primary Care gt Diabetes Cycle of Care screen Pap Smear The Pap Smear data can be found in Best Practice by opening a Female Patient Record and from the Main Patient screen opening the Cervical Smears screen If there are smear tests they will be lis
44. Data ACR mg mmol is calculated from Microalbumin and Creatinine The formula is microalbumin mg L creatinine mmol L e eGFR Estimated Glomerular Filtration Rate gt 100 Normal 60 100mg ml Stage 1 30 60 mg ml Stage 2 15 30mg ml Stage 3 lt 15mg ml Stage 4 No Data eGFR ml min is calculated using the CockCroft Gault formula from Creatinine measurement weight and age This formula is 140 age X weight Kg x Constant creatinine mol L Constant 1 23 for males 1 04 for females The data is displayed as a pie chart Functions available are as described for Allergies 7 2 8 1 Creatinine Mappings with Clinical systems The creatinine mappings are provided in the General Data Mappings Appendices under Measurements for each Clinical application If there are results for creatinine and weight is recorded the most recent values will be used by CAT to calculate the eGFR Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 51 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 7 2 9 1 1 displays your data as a breakdown of 1 status lt 7 gt 7 and lt 8 gt 8 and lt 10 gt 10 1 Recorded The data is displayed as a pie chart Functions available are as described for Allergies 7 2 9 1 HbAic Mappings with Clinical systems The HbAic mappings are provided in the General Data Mappings Appendices under Measurements fo
45. Director Clinical Desktop System Wherever Best Practice is used in the document we are referring to the Clinical Desktop System produced by Best Practice Software Wherever Genie is referred to we are referring to the Clinical Desktop System produced by Genie Solutions There are other Clinical Desktop Systems that may interoperate with the PCS Clinical Audit Tool in the future and additions will be made to this User Guide when they are available Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 6 of 110 COMPUTER SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1 4 Definitions acronyms and abbreviations Term Description ACR Microalbumin Creatinine Ratio APCC Australia Primary Care Collaboratives ATSI Aboriginal Torres Strait Islander BMI Body Mass Index BP Blood Pressure CAT Clinical Audit Tool CHD Coronary Heart Disease COPD Chronic Obstructive Pulmonary Disease CV Cardiovascular CVD Cardiovascular Disease DVA Department Veteran Affairs eGFR Estimated Glomerular Filtration Rate HbA1c Haemoglobin A1c HDL High density Lipoproteins HMR Home Medicine Review LDL Low density Lipoprotein MD Medical Director NPCC National Primary Care Collaboratives PCS Pen Computer Systems RACGP Royal Australian College of General Practitioners SIP Service Incentive Payment Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 7 of 110 SYSTEMS P
46. E A E AAA 32 6 8 1 METHOD OF ASSIGNING A PATIENT TO A eee aaa aaa aa aan rana nn 32 6 9 SAVING FILTER CRITERIA severi fecic Ese LINE ADAE SEE NIE RAN 33 6 9 1 CREATING A NEW FILTER 22 2 inopi nee RR PONO AENEAM 33 6 9 2 LOADING EXISTING FILTERS dad ve om 35 7 ANALYSING DATA SET 36 Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 3 of 110 COMPUTER SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 7 1 DATA SET RESULTS OVERVIEW else nie x ais he meine 36 7 2 DATA SET RESULTS GRAPHS AND a aaa 38 7 2 1 DEMOGRAPHICS x Es 39 7 2 1 1 REIDENTIFY REPORT CUT 41 7 2 2 NN CMM 42 7 2 2 1 ALLERGIES MAPPINGS WITH CLINICAL SYSTEMS 6 6
47. Genie application Clicking the CAT Collect button at the top left of the screen will provide you with the summary steps on how this is done within Genie Step by step details are provided in the Appendices The data set collected is saved in your preferred data folder see Setting Your Preferences for more information When the data retrieval has completed you will see an entry in the left hand column The data is stored as a snap shot on your PC You can use this snap shot for analysis at any time in the future Tip To refresh the list of snap shots click Edit gt Preferences and click OK Collect button Status bar Wide Condiicec Nedicaticee 10 06 2006 1240 PM 11775 Data set snap shot PENMHLE 0 Gerto Elhe city Age Ow Ji Last Viet Pestoode Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 23 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 11776 PENMLB_01 10 06 2008 12 40PM 11776 01 Each entry displays the date time of collection the number of records retrieved the machine name on which the collection was done You can collect as many data sets as you wish over time Each data set will be listed as an entry in the left hand column To analyse a specific data
48. ITH CLINICAL SYSTEMS 2 1 1 2 244 444 aaa rana nnn nn 61 7 2 15 IMMUNISATION S mel Ca A RUSSE MR 62 7 2 15 1 IMMUNISATIONS MAPPINGS WITH CLINICAL SYSTEMS 1 6 60 6 aan anna 62 n m w 8 1 STANDARD REPORTS AEA 63 8 1 1 NATIONAL PRIMARY CARE COLLABORATIVES 64 8 1 2 NPI NATIONAL PERFORMANCE INDICATORS REPORT 1 e ene enne enne ee enn 65 8 1 3 SUMMARY REPORT CARD RNNCRUE deri MU RM EU Qux TANDEM AE 66 8 2 CROSS TABULATION REPORT aE aAa nbn 67 8 2 1 CLEARING REPORT SELECTIONS ape ein Rr niai stone date ace Box N TR 68 9 9 1 PATIENTS WITH NO DATE OF BIRTH creed Fa aa espe muU x Rieju e nde wa oe dfe due 69 9 2 PATIENTS WITH NO GENDER 2 naii Ea x Ram rre ER gain 69 9 3
49. MS PTY LTD Page 93 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i gt Stroke Cerebral haemorrhage Cerebral infarction Cerebrovascular Accident CVA Haemorrhage intracerebral Haemorrhagic CVA Haemorrhagic stroke Intracerebral bleed Intracerebral haemorrhage Intracranial haemorrhage Ischaemic stroke Lacunar Stroke Migrainous stroke Stroke Stroke haemorrhagic Stroke ischaemic Stroke lacunar Stroke migrainous Stroke thrombotic Thrombotic stroke Mental Health gt Depression Anxiety Depression Depression Depression endogenous Depression Post Natal Depression reactive Endogenous depression Neurotic depression Organic depression Post Natal Depression Reactive depression gt Anxiety Anxiety Anxiety disorder Anxiety neurosis Anxiety Depression Fear irrational GAD Generalised Anxiety Disorder Irrational fear Neurotic depression Phobia Phobic anxiety disorder Phobic disorder Social Anxiety Disorder Social phobia gt Schizophrenia Borderline schizophrenia Catatonic schizophrenia Chronic schizophrenia Paranoid schizophrenia Schizophrenia Schizophrenia borderline Schizophrenia catatonic Schizophrenia chronic Schizophrenia paranoid Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 94 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i Bone Disease gt Osteoporosis
50. PATIENTS WITH ALLERGY STATUS ga use es usse su ua ausus esee sek nnn nn 69 9 4 PATIENTS WITH NO SMOKING STATUS nnn nn 69 9 5 PATIENTS WITH INCORRECT DIABETES CODING ses asus senes he kn nnn 70 10 FURTHER INFORMATION 71 11 APPENDIX A GENIE DATA 72 12 APPENDIX B MEDICAL DIRECTOR DATA CATEGORY MAPPINGS 75 12 1 APPENDIX B 1 CONDITIONS DATA CATEGORY MAPPINGS 0 0 nnn 75 12 1 1 zehn EE 82 12 2 APPENDIX B 2 MEDICATIONS DATA CATEGORY MAPPINGS 04 4 22 2 22 83 12 3 APPENDIX B 3 GENERAL DATA CATEGORY MAPPINGS nnns 87 Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 4 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE N HA HB Ww CJ CJ CJ CJ gt Pee omm COMPUTER SYSTEMS APPENDIX B 4 DIABETES SIP DATA CATEGORY MAPPINGS 00 2 90 APPENDIX C BEST PRACTICE DATA
51. PEN COMPUTER SYSTEMS PTY LTD Page 8 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 2 4 2 5 2 6 2 7 Internet Connection PCS Clinical Audit uses an authentication mechanism that requires a persistent internet connection It is recommended that you have a broadband internet connection to operate PCS Clinical Audit Memory Clinical Audit requires at least 196MB of available memory for a typical Clinical Desktop System eg Medical Director installation It is recommended that you use Clinical Audit on a system with at least 512MB of RAM installed Disk Space The program itself is relatively small however each snapshot for a typical Clinical Desktop System eg Medical Director installation will require around 25MB of disk space Clinical Desktop System Compatibility e Medical Director Clinical Audit has been tested against Medical Director Versions 2 and 3 As new versions of Medical Director are released PCS Clinical Audit will be validated and if required updated to maintain compatibility e Best Practice Clinical Audit is compatible with Best Practice version 1 6 0 395 and later As new versions of Best Practice are released PCS Clinical Audit will be validated and if required updated to maintain compatibility e Genie Clinical Audit is compatible with Genie Version 7 5 3 and later As new versions of Genie are released PCS Clinical Audit will be validated a
52. REVIEW Fiterng By Actes Condition Diabetes Yez FEMALES 925 YEARIS OF AGE Fiber y Aga gt s 9 Age Actina Ariea Pandaan IM 1 12 nie sins BP SI CV Event HVR Sidd Reco Click the Recalculate button Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 35 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER SYSTEMS 7 ANALYSING A DATA SET 7 1 Data Set Results Overview Once you have selected your data set snap shot and your data filters click Recalculate You will see the status bar in the top right hand corner of the screen flashing while the filtered data is reloaded from the snap shot into Clinical Audit Once this has finished you are ready to work with the data set of patients that match all the conditions selected The data set for this exercise has 11796 patients and has been filtered on Gender Female and Condition Asthma 204 patients have been returned matching the filter Example Total Patients Filter Selected Patients 5 PCS Clinical Audit 18 02 2007 117 Ethnicity Lati Visit D atsi A O me ATSI Mete 2
53. Repot Ov Even HMR Report Epot 5 2 Court BMI Count by ange poputabion 204 63 Moric 6 NEN Ote 10023 36 59227 EE Mery 10 5 0 20 91 118 51 of gt Age Bracket selection box this allows you to select an age bracket value between 1 and 10 years The default value is 5 which displays ages grouped from 0 4 5 9 etc Changing this value for example to 10 would display as below Note that you must click the Recalculate button for the new age bracket to be displayed 30 39 40 49 50 59 60 69 Age Range Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 45 of 110 PCS CLINICAL AUDIT TOOL USER GUIDE d pene SYSTEMS Export button if you click on any segment of the bar chart it will become highlighted and the Export button in the right hand corner of the results panel will become active You can select more than one segment of the graph Highlighted segment of bar chart Export button active fx Ges Fee 3 Medea 2 C Progam Fes MOW 2 Reiny asthma Veil Demogiohsc Sackng EVI Pap Lipid BP Diabetes SP Deni Ov Eve NP Repo
54. UTER 1 NPCC National Primary Care Collaboratives Report The NPCC Report is available under the Standard Reports tab The NPCC Report is always derived from your full data set not your filtered data set It will always show the practice total number of Diabetes and CHD patients This report provides you with summary statistics for your patients who are listed on the Diabetes Register and Coronary Heart Disease Register This report cannot be filtered by date It is applicable only to the date at which the data collection was extracted The date of extract will appear on the report The reason is because CAT collects a snap shot of a patient s current results at the date of extract It does not collect a full patient history and hence it is not possible to create an NPCC report retrospectively A report toolbar is available which provides functions to view print and export the document Clinical Audit Gate Reine 3 Mosca 2 0 Progen Oemogohecs Alejos BMI Diewe Pap Ses Lipid Oasis HoSTo BP Medostion Disbeler SIP Mews OV Event Rik HMR 515705 Repo 1 Sume Ranot Cond 211841 4 4 104 Report POMBE TES a Number of patients on the Diabetes Register 222 Patents Diabetes whose last recorded 1 within ho last 12 months wat
55. a PCS CLINICAL AUDIT TOOL USER GUIDE Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 90 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER 1 13 APPENDIX C BEST PRACTICE DATA MAPPINGS 13 1 APPENDIX C 1 CONDITIONS DATA MAPPINGS BP Best Practice only collects active conditions This is the default setting A clinician must make a choice when making a condition inactive and hence inactive conditions are not collected In contrast Medical Director defaults a condition to inactive CAT Category Best Practice Mapping Diabetes gt Type II Diabetes Mellitus NIDDM Diabetes Mellitus Type 2 NIDDM Non insulin dependent Diabetes Mellitus Type 2 Diabetes Mellitus gt 1 Diabetes mellitus IDDM Diabetes mellitus Type 1 IDDM Insulin dependent Diabetes mellitus Juvenile onset Diabetes mellitus Type 1 Diabetes mellitus Undefined diabetic Diabetes Diabetes controlled Diabetes Unstable Diabetes Mellitus Diabetic endarteritis Diabetic peripheral vascular disease Peripheral vascular disease diabetic Unstable Diabetes Respiratory gt Asthma Acute severe asthma Allergic asthma Allergy induced asthma Asthma Asthma review Asthma allergy induced Asthma exercise induced Asthma infective exacerbation Bronchial asthma Exercise induced asthma Exertional asthma Infective exacerbation of asthma Status
56. a Mappings Appendices for each Clinical system 7 2 3 Smoking Smoking displays your data as a breakdown of smoking status Daily Smoker Irregular Smoker Ex Smoker Never Smoked Nothing Recorded The data is displayed as a pie chart Functions available are as described for Allergies 7 2 3 1 Smoking Mappings with Clinical systems The smoking mappings are provided in the General Data Mappings Appendices for each Clinical system Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 44 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER 1 7 2 4 BMI BMI displays your data as a breakdown of BMI status Morbid Obesity 40 Obese 30 to 40 Overweight 25 to 29 9 Healthy 18 5 to 24 9 Underweight 18 5 The data is displayed as e Count per age range in a bar chart Average BMI per age range in a bar chart with the healthy range indicated e Incomplete where either of height weight height weight are missing so BMI cannot be calculated The Count on the Count graph will show you the total of the patients graphed this is the total num of patients where BMI has been able to be calculated Heb Claw cuim 2 C Pragan Fie MC By Cordiont Atma Fersiet Svokng Dieve Pap Sees Lipids 1 Os EP Disbetes SP leno
57. asthmaticus Wheezy bronchitis Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 91 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i gt COPD Bronchitis chronic Chronic bronchitis Chronic Obstructive Airways Disease Chronic Obstructive Pulmonary Disease COAD COAD Infective exacerbation COPD Emphysema Cardiovascular gt CHD Acute coronary insufficiency Acute myocardial infarction AMI Angina Angina pectoris Angiogram coronary Angioplasty coronary Anterior myocardial infarct Anterolateral myocardial infarct Balloon coronary angioplasty CABG Coronary angiogram Coronary angiography Coronary Angiography No significant obstr Coronary angioplasty Coronary angioplasty with stent Coronary artery bypass graft Coronary artery disease Coronary artery endarterectomy Coronary artery stent Coronary endarterectomy Coronary insufficiency Coronary occlusion Health assessment Heart attack IHD Inferior myocardial infarction Ischaemic heart disease MI Myocardial infarction Myocardial infarction anterior Myocardial infarction anterolateral Myocardial infarction inferior Myocardial infarction posterior Myocardial infarction subendocardial Myocardial infarction superior Occlusion Coronary artery Posterior myocardial infarct Preinfarction syndrome Stent coronary artery Subendocardial infarct Subendocardial myocardial infar
58. atient Medical Director 2 C Program FlesWMDW 2 Fiketing By Conditions Diabetes Yes Active Patient The filter name can be changed using the Edit button The filter can be deleted using the Delete button Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 34 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i SYSTEMS 6 9 2 Loading existing filters Clinical Audit F e Serena Corndtiors Frider Saved Piker ACTIVE PRACTICE POPULATION Fieiro By Actes ADULT HEALTH CHECKS 4548 Fierro By Age v 45 Age c 49 Acfva ANTENATAL REGISTER Fiber By Condon Pregnancy Yez ASINA NEOS IER Fesrg Ox Condon Hiha Yed OOO O _ _____ CHD ON AGPIRPI Fieno By Pairt Lyk Renas c 12 nthe Condtons Yes CHD PATIENTS NOT BETA BLOCKERS CR DIURETICS Fieno By Actos Condition Ver Madosi lAnhypatanie Bets Bocke No Diretor Nal CHILDREN 370 Y2 YEARS CF AGE Fieiro By Age 3 Age 12 Actos PATIENTS REQUIRING DIAGNOSIS REVIEW Bz Condition rdefred Diabetes Yez FEMALES 9 26 YEARS OF AGE Faraar Age gt 9 Age lt 26 Activa Patient MEANT AF TAPES LAST 12
59. atient s current medication list The collection process does not make any decisions about whether a medication should actually have been removed from the current medication list The GP is responsible for making sure the list of medications is accurate The HMR number of current medications is the total count of medications on the patient s current medication list Details of where the current medication list is found are provided in the Medications Data Mappings Appendices for each Clinical application Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 61 of 110 1 COMPUTER SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 7 2 15 Immunisations The Immunisations tab contains sub tabs for Influenza Pneumococcal Gardasil and Pertrussis The charts are all pie charts e Influenza Pneumococcal and Pertussis all display the most recent date the patient had the immunisation or if no immunisation is recorded e Gardasil displays the number of doses a patient has had or if no dose is recorded The reidentification report includes the date of the last immunisation Immunisation tab Edt Collect ves Extracts View Fier Medical Director 2 C Program Fies HOW2 Pap Smear Lipids Ciaatirina 1 BP Medicalions Diabetes Event Rak _ Invivanesasot Repas as Ales Smoking Preumococca
60. cket selection box this allows you to select an age bracket value between 1 and 10 years The default value is 5 which displays ages grouped from 0 4 5 9 etc Changing this value for example to 10 would display as below Note that you must click the Recalculate button for the new age bracket to be displayed 50 59 40 49 Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 39 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER SYSTEMS Export button if you click on any segment of the bar chart it will become highlighted and the Export button in the right hand corner of the results panel will become active You can select more than one segment of the graph Highlighted segment s of bar chart Export button active 5 PCS Clinical Audit Fie Collect View Extracts Fenson Condition Auhma Smoking Dizesre Pap Siga Lipids Creatinine Htc BP 1 Medion Disbetes SIP teres NPCC Report Evert Stow Total Couris Remographic Breakdown by Age population 204 204 Malas 0 Other 0 100 100 95 99 90 94 85 89 80 5 75 79 70 74 65 69 50 64 Click the Export button to get a list of the patients that make up this group This works the same way as the View Pop button except that you not looking at the filtere
61. ct Superior myocardial infarct Unstable angina Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 92 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i gt Hypertension Borderline hypertension Essential hypertension High blood pressure Hypertension Hypertension Preventive care Hypertension in pregnancy Hypertension Isolated systolic Hypertension borderline Hypertension malignant Hypertension portal Hypertension pulmonary Hypertension renovascular Hypertension white coat Idiopathic pulmonary hypertension Isolated systolic hypertension Labile Blood Pressure Labile BP Malignant hypertension Portal hypertension Pregnancy induced hypertension Preventive care Hypertension Primary pulmonary hypertension Pulmonary hypertension Renal hypertension Renovascular hypertension Severe refractory hypertension White coat hypertension gt Heart Failure Acute cardiac failure Acute heart failure Biventricular heart failure Cardiac failure Cardiac failure acute CCF Congestive cardiac failure Congestive heart failure Cor pulmonale Heart failure Heart failure acute Heart failure high output Heart failure left High output cardiac failure High output heart failure Hypertensive heart failure Left heart failure Left Ventricular Failure LHF LVF RHF Right heart failure Right ventricular failure RVF Version 2 3 PEN COMPUTER SYSTE
62. cular Event in 10 years time It is a guide only based on population health statistics and is useful for clinicians to gain a high level view of patients who are at risk for surveillance It is derived from the Cardiovascular Risk Calculator which was published in The Journal of the American Medical Association JAMA in the May 16 2001 Edition The calculation uses the Framingham Point Score contained in the National Cholesterol Education Program http www nhlbi nih gov guidelines cholesterol Adult Treatment Panel III Report Framingham risk scoring provides a method of patient risk assessment by weighting major risk factors and estimating 10 Year Cardiovascular Risk as a It excludes patients who have e Age lt 20 or gt 79 e Ethnicity ATSI e Condition Diabetic or CVD 3 The data items used in the calculation are Gender Smoking Status Smoker Non smoker Cholesterol Mg dL 4 HDL Mg dL 4 Systolic BP mm Hg Systolic BP being treated Ethnic groups may have a differing risk of cardiovascular disease CVD at the same level of risk factors The JAMA publication mentions the existence of limited data supporting a variation and a British study http www epi bris ac uk CVDethrisk has found a variation for ethnic groups within Britain This calculator does not adjust for ethnic group CVD includes the CAT Cardiovascular Conditions CHD Heart Failure and Stroke CAT captures Cholesterol and HDL in mmol L
63. d population but are drilling down to a subset of it Patient Reidentification oes NU 17081836 1 Address St Lr emper 13 Filtering By Conditions Asthma Yes Females Extract Details Medical Director version 2 Extract Date 10 05 2003 Patient Count 11776 Printed 25 06 2008 9 11 AM Audil Nol Published 2 0 1 25 Pen Computer Sysierns Pty Lid This will pop up a list of patient details The specific age value for each patient in the group selected will be provided in the last column Use the idi Export menu option to export the data to Excel format for follow up if required Print button click the Print button to print a copy of the graph Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 40 of 110 PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i SYSTEMS 7 2 1 1 Reidentify Report The reidentify report allows you to identify a list of patient that make up e the filtered population asegment of a pie or bar chart The last column of the report will give you information specific to the graph you are looking at for example population list will show you the patient last visit date e demographics graph will show you age BMI graph will show you the BMI value The Refine Selection button lets you remove patients from the reidentified list for printing purposes This is helpful if you wish to target a
64. daemia review Hyperlipidaemia type 2 Hyperlipoproteinaemia Type2 Review hyperlipidaemia Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 81 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i Renal Impairment Acute renal failure Chronic Renal Failure Cirrhosis with acute renal failure Dialysis haemodialysis Haemodialysis Hemodialysis Hepatorenal syndrome Impairment Renal Kidney failure Kidney failure acute Kidney failure chronic Kidney Impairment Renal artery stenosis Renal Damage Renal dialysis Renal failure Renal failure due to cirrhosis Renal Impairment Renal insufficiency acute Renal insufficiency chronic Stenosis Renal artery Uraemia Kidney Disease Chronic Stage 1 5 Renal Disease Chronic Stage 1 5 Chronic Kidney Disease Stage 1 5 CKD Chronic Kidney Disease Stage 1 5 12 1 1 Pregnancy Pregnancy is true if the patient has an incomplete pregnancy under the Obstetrics tab Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 82 of 110 SYSTEMS P I PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 12 2 APPENDIX 2 MEDICATIONS DATA CATEGORY MAPPINGS The data collection process collects medications that are found on the MD RX screen It does not make any decisions about whether a medication should actually have been removed from the RX screen The is respo
65. data set not your filtered data set The following NPI Reports for 2008 09 are available e CDM 2 for reporting on Diabetes patients HbA1c results in last 12mths e CDM for reporting on CHD patients with BP lt 130 80 in last 12 mths e PREV 4 for reporting on female patients aged 20 69 with a pap smear in last 2 yrs This report cannot be filtered by date It is applicable only to the date at which the data collection was extracted The date of extract will appear on the report The reason is because CAT collects a snap shot of a patient s current results at the date of extract It does not collect a full patient history and hence it is not possible to create an NPI reports retrospectively A report toolbar is available which provides functions to view print and export the document Fie Edt Help Collect View Extracts View Fiter View Pop Cleat Filters Recalculate Medical Director 2 C Program Files MDW2 Demogaphics Allergies Smoking BMI Disease Pap Smear Lipids Creatinine Hb lc BP Medications Diabetes SIP Items Event Risk 59 HNPCC Report NPI Repat Summary Report Cord CDM 2 CDM 3 PREV 4 141 2 Eu id 100 x DGPP Chronic Disease Management 2 NPI Indicator CDM 2 The number of patients within the Division with diabetes last recordedHbA1c the previous 12 months gt 7 0 gt 8 0 Total and lt and Recorded 8 0 10 0
66. ded in the Medications Data Mappings Appendices for each Clinical application Medications are flagged as true if they are on the patient s current medication list The collection process does not make any decisions about whether a medication should actually have been removed from the current medication list The GP is responsible for making sure the list of medications is accurate Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 52 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 7 2 12 Diabetes SIP Service Incentive Payment Items The Diabetes SIP graph is not automatically filtered by the patients with Diabetes To review your Diabetes SIP items you need to first filter on Condition Diabetes T S The filtering is not done automatically as some of the items may be of interest for the wider patient population eg CHD patients who have not had a BP in the past 6 mths Diabetes SIP displays your data as a breakdown of diabetes care items HbA1c Eye Exam BMI 6mths BMI 6 12 mths BP 6mths BP 6 12 mths Foot Exam 6mths Foot Exam 6 12 mths Cholesterol Triglycerides HDL Microalbuminuria Smoking The data is displayed as e Count of Patients with Care Item Recorded in the Last x Months e Count of Patients with No Care Item Recorded in the Last x Months ie Items Remaining Count of Items Completed per Patient where x is the number of months within which an
67. drochloride Rosiglitazone Maleate Metformin Hydrochloride Lipid M fying Statins Amlodipine besylate atorvastatin Atorvastatin Ezetimibe Simvastatin Fluvastatin Pravastatin Sodium Rosuvastatin Simvastatin Lipid M fying Other Cholestyramine Colestipol Hydrochloride Ezetimibe Ezetimibe Simvastatin Fenofibrate Gemfibrozil Nicotinic Acid Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 98 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 13 3 APPENDIX C 3 GENERAL DATA MAPPINGS BP Demographic Best Practice Mapping Gender Open gt Demographics screen gt Sex Ethnicity Open gt Demographics screen gt Drop down list for Aboriginal TSI DVA Open gt Demographics screen gt DVA No has a value Age Open gt Demographics screen gt DOB Last Visit Past Visits screen gt Checks most recent date in the list Postcode Open gt Demographics screen gt Postcode Allergy Best Practice Mapping Main Patient Screen gt Allergies Adverse Drug Reactions Box Allergy Recorded An Allergy Item is present No Known Allergies The Nil Known check box is checked Nothing Recorded No Allergy Items are present and the Nil Known check box is unchecked Smoking Best Practice Mapping Main Patient screen gt Open gt Alcohol and Smoking History gt Tobacco
68. e Filter By displays the criteria selected eg Male Diabetes Type II Aspirin ACE A2 Blacker Anlicoeguants Beta Blocker Celcius Amegoninte Diwetics Lipid O Yes D Ye Ove O No D Ye O No ACE Ne 7 Aecitypersniiur 3 Dr Watin Dam De Mexwsurewee 2 Files 2 Fhein By Diabetes Type ll Males Gemogaghscs Sworo BNI Pap See 9 BP Medcotows Diabetes SP lenis OV Ever Examples for each of the filter types are provided in the following sections Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 25 of 110 PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i SYSTEMS 6 2 Changing Filters When you make changes to the filters the new selections do not become effective in the Reports until you have clicked the Recalculate button e The Recalculate button will turn red when the filter text has changed but the button has not been clicked Clear Filters If the Recalculate button has not be clicked the correct previous filter text will display on any printed graphs and reports 6 3 Clearing Filters To clear filters that have been selected
69. e filter cannot be used to retrospectively look at the data ina snap shot The snap shot is only valid for the point in time at which it was taken For example If you filter on last visit between 1 and 2 years ago you will be excluding patients you have had a visit more recently These patients may or may not have had a visit in the period of time you are selecting You will not be selecting all patients who visited within that period Postcode Enter a 4 digit postcode or Multiple postcodes can be entered separated by a comma This filter allows you to select whether the list of postcodes is for e Include in the filter Patients matching a postcode in the list will be selected e Exclude from the filter Patients matching a postcode will not be selected The Exclude option allows practices to find patients that do not reside in their local area and may be transient 6 4 1 Demographic Filter Mappings with Clinical systems The demographic filter mappings are provided in the General Data Mappings Appendices for each Clinical system Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 28 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 6 5 Medical Conditions Filtering Fe ce Mew Extracts Poo Geres Condire Nedeutors Diabetes Respaatery Candice arcus Mertal Hnalth fane anan D Yes O Dyes D Wo D Yes ves D
70. e Indicators o Data Summary Report Card All views are of your filtered data set not your full data set except for the NPCC and NPI Reports The NPCC and NPI Reports are always derived from your full data set The NPCC report will always show the practice total number of Diabetes and CHD patients Some views are automatically filtered further to suit the data being represented These are e Pap Smear filters out gender male e CV Event Risk filters out age 20 age 79 ethnicity ATSI condition Diabetic condition Cardiovascular disease CVD Immunisations gt Gardasil filters out gender2male and age 9 Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 38 of 110 d Ree SYSTEMS 7 2 1 Demographics PCS CLINICAL AUDIT TOOL USER GUIDE Demographics displays your data set as a breakdown of males and females The data is displayed as a graph of the number of patients per age group PCS Clinical Audit E Fiering Fenson Condon Auhma Show Couris Demographic Breakdown by population 204 Ferales 204 Malas 0 0 Femsle Mele Smoking Diseste 5 Lpi 1 BP Medications Disbetes SIP leres NPCC Report OV Evert Rick Feci Naber of Patents 69 64 59 54 49 Age Bra
71. een gt Postcode Allergy Genie Mapping Patient Record Main tab Allergies Box Allergy Recorded An Allergy Item is present No Known Allergies The Nil Known option is selected Nothing Recorded No Allergy Items are present and the Nil Known option is not selected Smoking Genie Mapping Patient Record Main tab Smoking tick box Daily Smoker Smoker Smoker is ticked Irregular Smoker NA Ex Smoker NA Never Smoked Smoker Smoker is not ticked Nothing Recorded NA Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 108 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i Measurements The following measurements can be found in Genie by opening a Patient Record and from the Main tab Contacts panel viewing the Consultation Record BMI Lipids HDL LDL Triglycerides Creatinine HbAic BP Pap Smear The Pap Smear data can be found in Genie on the Patient Record Main tab If there are smear tests the Last pap date will be listed Patients marked don t recall are ignored Medications HMR Medications can be found on the Patient Record Main tab HMR counts all the medications listed Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 109 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 14 4 APPENDIX D 4 DIABETES SIP DATA MAPPINGS GENIE Diabetes SIP Item
72. either e Click the Clear Filters button in the top right hand corner of the screen to clear all your filters The Clear Filters dialogue box will appear Note This dialogue box is also used to clear any Report Selections that have been made Refer to the Cross Tabulation Report for details on this functionality The Clear all Filter Selections will be pre ticked Click OK to continue Please tick which selections you wantto clear Clear all Filter Selections Clear all Report Selections e Click the Clear button at the bottom right hand corner of each tab to clear only the filters for that tab A NOTE Make sure you click Recalculate when you have changed the filters Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 26 of 110 COMPUTER SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 6 4 Demographic Filtering 5 Clinical Audit Fle tX Won Vion Poo Chas 31 Age Last Visk Pestoode Oars 15 incisie Sean toe O marsi amo Dc 2 End Age comes Dade Ranga Iz O nn va ive General Gender Fenske Gerard Rend Saved Flex MescalDieecio 2 C Progam Fi MOW Fein By Ferndet Age 15 Val l
73. eport for this filtered group will be displayed and you will see that the sex column is empty or has something other than M or F 9 3 Patients with no Allergy status recorded The Allergies tab displays your data as a breakdown of allergy status Allergy Recorded No Known Allergies Nothing Recorded Use this tab to identify patients with the status of Nothing Recorded Refer to the section on Allergies 9 4 Patients with no Smoking status recorded Smoking displays your data as a breakdown of smoking status Daily Smoker Irregular Smoker Ex Smoker Never Smoked Nothing Recorded Use this tab to identify patients with the status of Nothing Recorded You may need to use the age filter to exclude patients under 10 years old Refer to the section on Smoking Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 69 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 9 5 Patients with incorrect Diabetes coding Patients with Diabetes should be coded with a Diagnosis of Type I or Type II To find incorrect coding search for i Patients with both Type I and Type II recorded Tick the Diabetes Type I checkbox Tick the Diabetes Type II checkbox Click the Recalculate button Click the View Pop Button The Patient report for this filtered group will have both diagnosis recorded ii Patients with an Undefined only diagnosis recorded patients should have a primary diagnosis of Type
74. erene Hydrochlorothiazide Amiloride Hydrochlorothiazide Triamterene Indapamide Hemihydrate Irbesartan Hydrochlorothiazide Olmesartan medoxomil Hydrochlorothiazide Perindopril arginine Indapamide hemihydrate Quinapril Hydrochlorothiazide Telmisartan Hydrochlorothiazide Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 97 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i H glycaemics Insulin Insulin Aspart Insulin aspart Insulin aspart rys Insulin Aspart Insulin Aspart Protamine Suspension Insulin detemir Insulin glargine Insulin glulisine Insulin Isophane N P H Bovine Insulin Isophane N P H Human Insulin lispro Insulin Lispro Insulin lispro Insulin lispro Protamine Suspension Insulin Lispro Insulin Lispro Protamine Suspension Insulin Neutral Bovine Insulin Neutral Human Insulin Neutral 20 Isophane 80 Human Insulin Neutral 30 Isophane 70 Human Insulin Neutral 30 Isophane 70 Human Insulin Neutral Bovine Insulin Neutral Isophane Human Insulin Neutral Isophane Human Insulin Zinc Suspension Human Neutral Insulin Human H glycaemics Oral Glibenclamide Gliclazide Glimepiride Glipizide Metformin Hydrochloride Metformin Hydrochloride Glibenclamide Metformin Hydrochloride Glibenclamide Metformin Glibenclamide Metformin Glibenclamide Pioglitazone Hydrochloride Rosiglitazone Rosiglitazone Maleate Metformin Hy
75. g a date range of lt 6mths lt 12 mths lt 24 mths User defined range the user can filter out results that have not been measured within the selected period Results outside the selected period are treated as Not recorded This will give a more meaningful picture for charts like HbA1c where old results are really not relevant The filter is only applicable to some charts Where the filter has been applied the chart title will include the selected period For example Status population 6984 with last recorded result 3 3 2008 3 9 2008 Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 31 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 6 8 Provider Filtering The provider filter allows you to filter patients by provider This allows providers within your practice to drill down to their own patients The provider filter tab displays a list of the practice clinicians with a provider number You can filter by Practice all providers are ticked e One or more providers tick those you wish to filter on and un tick the No Assigned Provider box e No Assigned Provider to find patients that are not assigned to any provider EI Cras Fams Geren Corriere Fand Saved Flex Name a Proeifnr Phone Phona
76. gina High risk Unstable Angina Low risk Unstable Angina Moderate risk Variant angina PCS CLINICAL AUDIT TOOL USER GUIDE Hypertension Antihypertensive agent prescription Blood Pressure Labile Blood Pressure review BP Labile BP Unstable Essential hypertension HBP High blood pressure HT Hypertension Hypertension Hypertension Borderline Hypertension Controlled Hypertension Isolated Systolic Hypertension Labile Hypertension Life style management Hypertension Malignant Hypertension Portal Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 77 of 110 1 COMPUTER SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE Hypertension Renovascular Hypertension Unstable Hypertension review Hypertensive crisis Labile Blood Pressure Labile BP Labile Hypertension Malignant hypertension Portal hypertension Prescription Hypertension Primary hypertension Renal Hypertension Renovascular Hypertension Review BP Severe refractory hypertension Heart Failure Acute cardiac failure Acute heart failure Cardiac failure CCF Congestive Cardiac Failure Congestive Heart Failure Cor pulmonale Heart failure Heart failure Acute Heart failure Biventricular Heart failure High output Heart failure Left Heart failure Right High output cardiac failure High output heart failure Hypertensive heart failure Left ventricular failure LHF Left heart failure
77. hannel Blockers gt All Diuretics Classes Cardiovascular System gt Antihypertensives gt Diuretic Cardiovascular System gt Antihypertensives gt Diuretic gt Diuretic Herbal Cardiovascular System gt Antihypertensives gt Diuretic gt Diuretic Potassium Sparing Lipid M fying Statins Generic Names Atorvastatin Atorvastatin Amlodipine Fluvastatin Pravastatin Simvastatin Ezetimibe Simvastatin Rosuvastatin Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 84 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER 1 Lipid M fying Other Generic Names Cholestyramine Clofibrate Colestipol Ezetimibe Fenofibrate Gemfibrozil Cerivastatin Probucol Nicotinic Acid Avena Sativa Nicotinic Acid Policosanol Medications Other Antidiabetics H glycaemics Insulin Class Hormones And Metabolic Products gt Antidiabetic Agents gt Hypoglycaemic Agents Insulin gt All H glycaemics Oral Class Hormones And Metabolic Products gt Antidiabetic Agents gt Hypoglycaemic Agents Oral gt All Metformin Generic Names Metformin Rosiglitazone metformin Metformin hydrochloride glibenclamide Mental Health Antipsychotics Class Nervous System gt Antipsychotics Corticosterids Glucocorticoids Class Hormones and Metabolic Products gt Adrenal Hormones gt Co
78. he CAT screen The Clear Filters dialogue box will appear The Clear all Report Selections tick box will be pre selected if report segment selections have been made Click OK Please tick which selections you want to clear C Clear all Filter Selections Clear all Report Selections The e which appears on tabs with selected report segments will be cleared The text line with selected report segments information will be cleared Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 68 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 9 How to improve data quality using CAT There are a number of ways that CAT can be used to improve the data quality of your clinical desktop system Some of these are listed below 9 1 Patients with no Date of Birth Patients with no date of birth DOB will have their age set to 999 in the data set To find them use the age filter Set the Start Age 998 Click the Recalculate button Click the View Pop Button The Patient report for this filtered group will be displayed and you will see that the DOB column is empty 9 2 Patients with no Gender Patients with no gender will have their gender as something other than or F in the data set probably it will be blank To find them use the gender filter Tick Gender Other Click the Recalculate button Click the View Pop Button The Patient r
79. he Clinical Audit Export option Click Browse and choose the Folder to export your extracts Click Export Make sure your Clinical Audit Preference settings match the extract Folder chosen in Genie Collecting data sets from within Genie Open the Genie application Click on the File menu option and choose Maintenance amp Reports Open Teeb HONS Information Feature b Lug Reporte 1 User Preferences Al User Preferences Printing Preferences Praction Preferences 2eontacts 1 Gt aene kart 10 sat piscine IB ilzlelelsizizieleim 6 Add or Oyange User Date mie Provider Change Practice 10008200 Preven De ardem Cero 3072007 Prezorption O Argen Den Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 72 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE SYSTEMS COMPUTER i From the Maintenance amp Reports window click the Clinical Audit Export button 4 Maintenance amp Reports NPC Collaborative Report National Primary Care Collaborative Report P patients with JHD AMI and Diabetes 2 Appointments Report Display an analysis of urgent vs non urgent appointments Alt Ciick to gez report on appointment types p Print a report detail no of patients seen consults performed presenting problems Clipi al Audit Ex
80. he top menu 5 PCS Clinical Audit The Preferences Dialog box will be displayed Clinical Audit Preferences Clinical Audit Medical Director 2 Medical Director 3 Best Practice Genie GP Application Practice ID Practice Name Extract Directory C ClinicalAudit kGaYdXY Gya B kGaYdXY Gya B kGaY dvi GP Application From the drop down list select the Clinical Desktop System you wish to collect from Then click the tab for that Clinical Desktop System to enter further values Practice Name and Practice ID Number Fill in the values for these fields with your practice details At a future time these values will be used if your practice decides to participate in projects that send consented de identified patient clinical data to your Division or other data repository Extract Directory This folder is used to store the snap shots of your data for analysis by the Clinical Audit Tool By default the data will be stored in the folder C ClinicalAudit on your PC If you prefer to store them somewhere else you can change this by clicking the Browse button and choosing another Data Folder Location Click OK when you have selected a new location Click OK to save this location and close the Dialog box License Key The license key contains details of the modules in CAT you have access to All users have access to all the functionality described in this manual You should not
81. icylates Beta Blockers 46 Beta blockers Calcium Antagonists 54 Calcium channel blocking agents phenylalkylamines 377 Calcium channel blocking agents dihydropyridines 501 Calcium channel blocking agents benzothiazepines Diuretics 107 Loop diuretics 162 Thiazide diuretics and related agents H glycaemics 98 Insulins Insulin H glycaemics Oral 329 Sulfonylureas 47 Biguanides 163 Thiazolidinediones Lipid M fying 92 HMG CoA reductase inhibitors Statins Lipid M fying 165 Clofibrate Other 166 Colestipol Hydrochloride 168 Gemfibrozil 169 Probucol 170 Nicotinic acid 172 Cholestyramine 1748 Cerivastatin Sodium 1810 Avena Sativa Seed 2428 Avena Sativa Herb Extract 2484 Avena Sativa Seed Dry 3105 Policosanol 3818 Ezetimibe 4029 Fenofibrate Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 107 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER 1 14 3 APPENDIX D 3 GENERAL DATA MAPPINGS GENIE Demographic Genie Mapping Gender Patient Record gt Edit Patient screen gt Sex M F blank Ethnicity Patient Record gt Edit Patient screen gt Misc gt Culture gt Drop down list for Aboriginal TSI DVA Patient Record gt Edit Patient screen gt DVA No as a value Age Patient Record gt Edit Patient screen gt DOB Last Visit Patient Record Main tab Contacts panel gt Checks most recent date in the list Postcode Patient Record gt Edit Patient scr
82. ie The Genie software application itself provides a new Reports menu option that performs the data extraction for Clinical Audit This is described Appendices section of this manual The Genie preference tab summarises the steps you should follow Ensure the Extract Directory on the Clinical Audit tab matches the extract folder chosen in Genie Clinical Audit Preferences Clinical Audit Medical Director 2 Medical Director 3 Best Practice Genie Collection Information The Data Collection is done in Genie please follow these steps Genie Click on File gt Maintenance Reports Click the Other Reports tab Click the Clinical Audit Export option Click Browse and choose the folder to export your extracts Click Export Make sure your Clinical Audit Preference settings match the extract folder chosen in Genie Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 20 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER SYSTEMS Once you have selected your Clinical Desktop system the details will be displayed above the row of tabs Clinical Desktop System Database Location Mu Audit Lect 2 C Po an Files 2 lees BMI Pap Sees Lipids Cisinine H340 EP Medications Disbetes SP lens Repot OV Everi HMR NPI Repos 4 1 2 Choosing a preferred Data Folder Location If there are a few clinicians in the
83. item is required to be recorded 6 12 or 24 months 0 0 1 0 0 A N N A N N N N A F F F F a O o S a d v N Q T xul a N S AS M g 2 e e 4 2 e lt s amp lt lt Care ltem Recorded in Cycle in last X months A NOTE Old Extract files did not contain data for BMI BP and Foot Exam recorded in the last 6 12 months Where these are loaded CAT will display a message to alert the user that the extract file they are viewing does not contain the data elements in the last 6 12mths The bar segments of the chart for these data elements will always be empty and show 0 Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 53 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 7 2 12 1 Cycle of Care by Item The Items Recorded and Items Remaining graphs will help you to identify by item the areas of care that still need to be recorded for a patient Export button functions as described for BMI Print button click the Print button to print a copy of the graph 7 2 12 2 Cycle of Care by Patient The Items Completed per Patient graph provides a view by patients of items that have been completed or not The Export button is renamed Worksheet for this graph as it gives a different style of re identify report Edt He Gates
84. itional installs gt Log on as each user that will be using CAT and repeat the install instructions NOTE If access privileges are an issue then you will need to elevate the user s privileges to install and then restore them afterwards This is a Microsoft configuration Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 14 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 3 3 Proxy Servers If you are having trouble installing the Clinical Audit Tool it may be because you a behind a Proxy Server Some Proxy Servers will prevent you from installing the Clinical Audit Tool which uses a very new deployment technology developed by Microsoft When attempting to install one of the following may occur you get a message like the application failed to install e you get a message indicating a CGI error e you can t login even though you have the correct user name and password These problems are most likely caused by your system s Proxy Server If you cannot install the Tool please contact your Network Administrator or IT support person and advise them of this issue There is a hot fix supplied by Microsoft that may help in allowing installation to occur behind your Proxy Server The hot fix can be downloaded here http www myhealthepractice com au DOTNETHOTFIX Proxy KB917952 zip If your Network Administrator or IT support contact is unable to help please contact your divisi
85. l Peilussis Immunisation charts Chart functions available are as described for Allergies 7 2 15 1 Immunisations Mappings with Clinical systems Medical Director Immunisations are collected if they have been entered in the MD Immunisations tab The values collected for each type of immunisation are Influenza Pneumococcal Gardasil Pertussis FLUVAX PNEUMOVAX 23 GARDASIL ADACEL FLUARIX PNEUMOVAX BOOSTRIX FLUAD BOOSTRIX IPV FLUVIRIN DTP INFLUENZA PERTUSSIS INFLUVAC VAXIGRIP VAXIGRIP JUNIOR Best Practice and Genie This function is not available yet Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 62 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER SYSTEMS 8 Reports 8 1 Standard Reports A number of reports are available under the Standard Reports tab Fle Edt i Vern Pop C a Hosea De cet 2 Prague Fies AOW a Smoking Diewe Pap Ses Loi H3510 Mews CV Even Rik SardydPapots Show Total Courts Exot 5 2 These National Primary Care Collaboratives Report e NPI National Performance Indicators Summary Report Card Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 63 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE SYSTEMS 8 1 P
86. l see the Export Complete message displayed D Maintenance amp Reports General Daily Monthly Practice Analysis Administrator Other Reports Disease Coding Conversions NPC Collaborative Report D Clinical Audit Clinical Audit Export This wall export your clinical data in XML formay for analysis by PEN Computer Sysbems Clinical Aud Export complete CH Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 74 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 12 APPENDIX MEDICAL DIRECTOR DATA CATEGORY MAPPINGS 12 1 APPENDIX B 1 CONDITIONS DATA CATEGORY MAPPINGS The data collection process collects conditions that are found on the MD Past History screen Chronic conditions are flagged as true for a patient if the condition is marked as either active or inactive From the list below only Asthma and Depression are regarded as being recoverable These conditions are flagged as true if they are marked as active only CAT Category Medical Director Mapping Diabetes Type 11 Diabetes Mellitus NIDDM Diabetes Mellitus Type II NIDDM Non insulin dependent diabetes mellitus Type I Diabetes Mellitus IDDM Diabetes Mellitus Type I IDDM Insulin dependent diabetes mellitus Insulin dependent diabetes mellitus Juvenile Onset Diabetes Undefined diabetic Arteritis Diabetes Mellitus
87. mpatibility with changes to CAT CAT version 2 has new filters and reports Additional data is collected by version 2 for these new functions Your CAT version 1 extracts will not have the additional data needed to make these functions work You can load up your version 1 extracts and analyse them as before the new functionality will inactivated for these extracts by being greyed out Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 24 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 6 DATA FILTERING 6 1 Data Filtering Overview Data can be filtered so that you can view graphs and reports for specific criteria The data filters are organised into a series of tabs e General Demographics Conditions Medical Medications e Results e Providers Another tab is provided for you to save your selected filter criteria e Saved Filters To filter the data simply select the criteria you require to look at This is usually done by ticking selection boxes The criteria you have selected will be displayed at the top of the Results panel They will be displayed even if you hide the filter panel Click Recalculate You will see the status bar in the top right hand corner of the screen flashing while the filtered data is reloaded from the snap shot into Clinical Audit This will limit your data to look at only patients that match all the conditions ticked Exampl
88. nd if required updated to maintain compatibility 1 For the purposes of this document a typical Medical Director installation contains approximately 10 000 patient records Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 9 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 2 8 Best Practice Requirements Best Practice Software provides a new executable file that must exist with your Best Practice application in order for Clinical Audit to be able to collect data If this file is not installed you will receive the following error message when you click the Clinical Audit Collect button Error collecting data Best Practice Data Collector The system cannot Find the file specified Please contact your software vendor who can provide an update to this extract tool If you receive this message contact Best Practice Software and they will provide a copy of the file for you It is intended that this file will included in future releases of the application 2 9 Genie Requirements The Genie software application provides a new Reports menu option that performs the data extraction for Clinical Audit This is described in the Appendices section of this manual Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 10 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER 1 3 INSTALLATION The Clinical Audit Tool is available using Microsoft ClickOnce technology
89. nditions Medications Results Providers Saved Filters Filter Name Description Save New Fiker Edit Delete 6 9 1 Creating a New Filter Name Initially the Saved Filters tab will be empty To create a filter e Select some filter options eg Active Patient with Diabetes e The Save New Filter button will become available 5 Clinical Audit File Edt Heb General Conditions Medications Results Providers Filter Name Save Filler Medical Director 2 C Progiam Files MDW2 Filtering By Active Palient Condilions Diabetes Yes e Click the Save New Filter button Filter Details dialogue box will open Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 33 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER SYSTEMS The filter options you have selected will be shown in the filter Description Filter Details Filter Name Description Filtering By Active Patient Conditions Diabetes Y es e Jill in the Filter Name Filter Details Filter Name ACTIVE PATIENTS WITH DIABETES e Click OK The new filter name will now be listed on the Saved Filters tab File Edt Help General Conditions Medications Results Providers Saved Fillers Filter Gera Rescue 23 Description ACTIVE PATIENTS WITH DIABETES Fiterng Conditions Diabetes Yes Active P
90. nsible for making sure the list of medications is accurate Medications Heart CAT Category Medical Director Mapping ARB Class Cardiovascular System Antihypertensives Angiotension II Antagonists gt ACE Inhibitors Class Cardiovascular System Antihypertensives ACE Inhibitors gt Aspirin Generic Names Aspirin Aspirin Dipyridamole Aspirin Citric Acid Sodium Bicarbonate Aspirin Citric Acid Sodium Bicarbonate Sodium Aspirin Glycine Warfarin Generic Names Warfarin Clopidogrel Generic Names Clopidogrel Beta Blockers Generic Names Antihypertensive Atenolol Bisoprolol Carvedilol Labetalol Metoprolol Oxprenolol Pindolol Propranolol Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 83 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i Beta Blockers Chronic heart failure Generic Names Bisoprolol Carvedilol Brand Names these are controlled release preparations of Metoprolol and Metoprolol Succinate Toprol XL Toprol XL Titration Pack Beta Blockers Myocardial Infarction Generic Names Atenolol Betaxolol Hydrochloride Bisoprolol Fumarate Carvedilol Esmolol Hydrochloride Labetalol Hydrochloride Metoprolol Succinate Oxprenolol Hydrochloride Pindolol Sotalol Sotalol Hydrochloride Calcium Antagonists Class Cardiovascular System gt Antihypertensives gt Calcium C
91. nxiety Disorder Generalised Anxiety Disorder GAD Mixed anxiety depressive disorder Mood anxious Nervous Nervous Anxiety Neurotic anxiety Phobia Social Anxiety Disorder Social Phobia Tense Schizophrenia Borderline schizophrenia Brief reactive schizophrenia Catatonic schizophrenia Chronic Schizophrenia Paranoid schizophrenia Schizophrenia Schizophrenia borderline Schizophrenia brief Schizophrenia catatonic Schizophrenia chronic Schizophrenia paranoid Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 80 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER Bone Disease Osteoporosis Osteopaenia Osteopenia Osteoporosis Osteoporosis corticosteroid induced Osteoporosis no fracture Osteoporosis with fracture Post menopausal osteoporosis Steroid induced osteoporosis Steroid osteopathy Osteoarthritis Arthritis Osteo Hip Osteoarthritis Hip Osteoarthrosis Knee Osteoarthritis Knee Osteoarthrosis OA Osteoarthritis Osteoarthritis Osteoarthritis Ankle Osteoarthritis Fingers Osteoarthritis Hands Osteoarthritis Hip Osteoarthritis Knee Osteoarthritis Neck Osteoarthritis Shoulder Osteoarthritis Spine Osteoarthrosis Spondylosis Wear and tear arthritis Other Hyperlipidaemia Dyslipidaemia High cholesterol Hypercholesterolaemia Hyperlipidaemia Hyperlipidaemia controlled Hyperlipi
92. o Known Allergies Noting Recorded 59 3 No Known Allergies 18 1 Nething Recorded 226 Allergy Recorded Click the Export button to get a list of the patients that make up this group This works the same way as the View Pop button except that you not looking at the filtered population but are drilling down to a subset of it Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 43 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 5 Patient Reidentification DER illii 4 LARA Reidentify Patients Report Allergies Filtering By Conditions Asthma Yes Females s City Post lim 99 eene pus Bee rere feee 7 ens pm tes ero Tec eee 2 E e 7 1 nem 12 ens penes This will pop up a list of patient details The specific allergy value for each patient in the group selected will be provided in the last column Use the Export menu option to export the data to Excel format for follow if required Print button click the Print button to print a copy of the graph 7 2 2 1 Allergies Mappings with Clinical systems The allergies mappings are provided in the General Dat
93. on Follow these steps 1 Logon to the computer you are installing CAT onto as Administrator 2 Download the zip file and extract the files 3 Run the extracted exe file 4 Reboot the computer Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 15 of 110 PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER SYSTEMS 3 4 Using Clinical Audit Offline You must install and login initially to Clinical Audit while connected to the Internet so your login details can be validated You can then use CAT without being connected to the Internet for a period of 1 month When you are connected to the Internet CAT is able to verify your registration credentials are still valid and check to see if there are any application updates available for download If you use CAT for a long period of time without connecting to the Internet then your credentials will eventually expire You will need to connect again and go to the CAT installation URL to download an update Note If you have a Desktop Shortcut to CAT and it does not work offline you simply need to delete and recreate it 3 5 CAT Licence Key All CAT users are provided with a license key that gives them access to the Clinical Audit Core Product CACP The CACP includes all the functionality that is described in this manual The license key is generated the first time a user logs in by leaving the license key field blank Custom CAT modules may be developed to mee
94. pneri korns separated 3 15nh O 30mh Date Range fron to 249 007 Femsies Conditions athena Me cason Disbetes iteres NPCC fleport 5 Event Risk Oerogephet Allergies Smoking Pap Smee Lipide NIP Stow Total Courts Demographic Breakdown by Age population 204 Females 24 Males Q Other O C Fenske E Mae COMPUTER 26 15 10 5 0 SYSTEMS Nerrber of Patents Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 36 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE INS ue SYSTEMS Click the View Pop button at the top of the screen to get a list of the patients that have been selected in this dataset Note this is the filtered dataset not the full dataset PCS Clinicat Audit This will pop up a list of patient details Use the Export menu option export the data to Excel format for follow up if required The far right column on the Population list will show you the patients last visit date H Audit 18 ee iun Gee Fin Gares Meckouters Diabetes Respaatery Cardiovarcula Mertal Health Bone Dinar Other D Yor O Yor D O Yos D D O No D C No Oven
95. port P lt ports XML Files for use by PEN Computer Systems Audit Tool From the Clinical Audit dialogue box click the Browse button to select the folder you wish to export your data extract to This should be set to match your Clinical Audit Data Folder Location preference D Maintenance amp Reports General Daily Monthly Practice Analysis Administrator Other Reports Disease Coding Conversions Collaborative Report 7 National Primar on patients vit BELT T urgent Systems Clinical Audit Tol LL Print a report d Select the Folder to save the exported Files 6 breakdown ICAClinicalauditl Display Files Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 73 of 110 PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i SYSTEMS Click the Export button to start the data extract 1 Maintenance amp Reports General Daily Monthly Practice Analysis Administrator Other Reports Disease Coding Conversions Collaborative Report Clinical Audit Export This wil export your clinical data in XML Format for analysis by PEN Computer Systems Clinical Audit Tool 4 Creating Link File Two files will be created the link file and then the data you will be shown the progress of each file extract Once the export has completed you wil
96. port Card Active 3 wets 2 LL NENNEN 4 ww 99 sux mm CE mw REI 708 Namen aj s 595 2 Fregnancies Elgbh Females agad 18 70 4311 E 39 ears Oste 34 years ago 176 29 39 Pap Sma Date 2 TI ago we 3 _ 1 15 Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 66 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i SYSTEMS 8 2 Cross Tabulation Report The cross tabulation report provides the ability to find patients who appear on more than one graph this assists with the identification of target population risk groups For example Highlight the graphs segment for BMI gt 30 Smoker BP gt 140 90 Cholesterol level gt 7 5 and view which patients meet all these criteria As you highlight report chart segments you will see 2 pieces of information on the screen 1 A e will appear on the tab where you have made chart segment selection 2 A new line will appear underneath where the filter details display This line will provide details of which chart segments are selected This example below shows BMI Obe
97. practice that are using CAT then choose a network drive that is accessible to all Use the Edit gt Preferences option to set the same Data Folder Location for each user S than 1 user can work with the same snapshot at the same time Genie users will need to make sure this folder matches the folder they select from the Genie application when they do the extract This is described in the Appendices section of this manual 4 1 3 Changing the Licence Key You should not change the license key unless you are specifically provided with a new one by PCS The license key is updated by clearing the license key field and pasting the new one you have been issued into the field Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 21 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 4 2 Navigating the CAT User Interface Click the View Extracts and the View Filter buttons to display all the areas of the CAT user interface The screen is divided into 3 sections Data Snap shots or Extracts collected for analysis Left Hand Panel e Data Filters Top Right Panel Data Reports Bottom Right Panel It is handy to be able to hide the data collection and data filter areas of the screen in order to make best use of your screen space to view the data results You can toggle between the View Hide modes at any time 5 Audit Edt We
98. r each Clinical application 7 2 10 BP BP displays your data as a breakdown of BP status lt 130 80 130 80 140 90 gt 140 90 No BP Recorded The data is displayed as a pie chart Functions available are as described for Allergies A patient s BP must have both systolic and diastolic values recorded on the same day to be valid The most recent recording is used If only one value is recorded this will be invalid and display in the No BP Recorded category A patient s BP will be shown in the higher segment if either of the systolic or diastolic values is above the cut off Eg a BP of 141 85 will end up in the gt 140 90 category 7 2 10 1 BP Mappings with Clinical systems The BP mappings are provided in the General Data Mappings Appendices under Measurements for each Clinical application 7 2 11 Medications Medications displays your data as a breakdown of medication groups These are the same medication groups as provided in the medications filter The data is displayed as e Count per condition in a bar chart Prevalence per condition as a percentage of this population in a bar chart Functions available are as described for Disease A bar is also provided on the chart for patients that have None of these disease categories This is provided to assist practices in targeting patients for preventative care and miscoding 7 2 11 1 Medications Mappings with Clinical systems The medications mappings are provi
99. rticosteroid gt Corticosteroid Glucocorticoid Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 85 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i Pain Relief NSAIDs Generic Names Diclofenac Diclofenac Misoprostol Ibuprofen Ibuprofen Lysine Ibuprofen Codeine Ibuprofen Codeine Phosphate Ibuprofen Pseudoephedrine Hydrochloride Indomethacin Ketorolac Ketoprofen Ketorolac Trometamol Mefenamic Acid Naproxen Piroxicam Sulindac Tiaprofenic Acid Class Musculoskeletal Agents gt Antiinflammatory Agents gt Systemic NSAIDs gt COX 2 Inhibitors COX2 Class Musculoskeletal Agents gt Antiinflammatory Agents gt Systemic NSAIDs gt COX 2 Inhibitors Respiratory Asthma Inhaled Class Respiratory gt Antiasthmatic and or COPD preparations gt Antiasthmatic Preventative gt Steroid Inhaled Generic Names Budesonide COPD Generic Names Tiotropium Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 86 of 110 SYSTEMS COMPUTER i Demographic Medical Director Mapping Gender Patient Details screen gt Sex Ethnicity Patient Details screen gt Tick boxes for Aboriginal TSI DVA Patient Details Screen gt e the Pension Status set to Full or Limited or the No field has a value Age Patient Details screen gt DOB Last Visit Pas
100. se Morbid Smoking Daily BP 2140 90 Lipids Cholesterol 27 5 Clinical Audit Edit Collect View Extracts Extracts View Filter Filter Report Medical Director 2 C Program Files MDw 2 Selected BMI Obese Morbid Smoking Daily BP 140 1 BMle Cholesterol gt 7 5 Disegz Pap Smear Lipidse Creatinine 1 BPe Medications Diabetes SIP Demographics Allergies La You will also see that the new Report button has become active Click the Report button The standard Reidentify Report will display in an adjusted format to allow the data values for the chart selections you have made to be provided 2 Patient Reidentification i of 1b ble 301 i i Cross Tabulation Reidentify Report Selected BMI Obese Morbid Smoking Daily BP 140 90 Cholesterol gt 7 5 al Sem me CU pee _ Extract Details Practice Name PENMLS 01 Director version 2 Extract Date 10 06 2008 Patent Count 11776 Printed 27 03 2096 11 09 Clinical Andit Not Publshed 2 1 0 2 Pen Computer Systems Pte Lid Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 67 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i 8 2 1 Clearing Report Selections To clear the Report Chart Segments you have selected click the Clear Filters button at the top right hand corner of t
101. system for details about how different conditions are collected Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 29 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE 7 COMPUTER SYSTEMS 6 6 Medications Filtering Medications are divided into 2 tabs to allow for a greater number of medications to be selected These are e Medications Heart e Medications Other 5 Clinical Audit t Wwe Mme penas Hi Fite 3 Eu Geresd Rend Pyreiders Saved Flex ILI ihar ACE ot ARB Anfsi cagulanftc Blocker Calcium Aelaganizis Diurclizz Lipid No D Yos Ne Yes Mo No O Ye ves No jn Aectygernrivur Olas wie Om Crochet ote Dn C ne 5 Clinical Audit tX Heb Conditions Provides Saved Flex Medications Wedeatore ber Anlidiebeticr Nental Hiselth Pain Respiratory C D Yos O No C O C D Aren O nave genres
102. t Court Count by Age Range 7204 Court 68 Merb 6 209023 E ON 25290 E Wert 105 0 2191 BM Under 1189 P 1 Click the Export button to get a list of the patients that make up this group This works the same way as the View Pop button except that you not looking at the filtered population but are drilling down to a subset of it e of e 19 14 40 44 Age Farge Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 46 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i SYSTEMS gt Patient Reldentification Filtering By Conditions Asthma Yes Females Filtering Cond ions Asthma Yes Females Extract Details Medical Director version 2 Extract Date 10 05 2008 Patient Count 11776 Printed 25 05 2208 9 11 Clinical Audit Not Publishad 2 0 1 25 Pen Computer Systems Pty Ltd This will pop up a list of patient details with their BMI value Use the id Export menu option to export the data to Excel format for follow up if required Print button click the Print button to print a copy of the graph 7 2 4 1 BMI Mappings with Clinical systems The BMI mappings are provided in the General Data Mappings Appendices under Measurements for each Clinical system Version
103. t 15 nghe Patient data can be filtered as follows Gender Ethnicity DVA Age Male Female Other No selection Note Ticking multiple boxes will create an OR criteria ie Male OR Female ATSI Aboriginal Torres Strait Islander non ATSI No selection lt All Note Ticking multiple boxes will create an OR criteria ie ATSI OR non ATSI DVA Department Veteran Affairs non DVA No selection All Note Ticking multiple boxes will create an OR criteria ie DVA OR non DVA Enter a numeric start age or end age to limit your selection Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 27 of 110 P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i SYSTEMS Last Visit The last visit date is the most recent date a patient contact has been recorded In Medical Director this is deemed to be the date of the most recent progress note Check the General Data Mappings Appendices for each Clinical system Values for selection are e Any the last visit was at any time all patients will be selected Active has had 3 visits in the last 2 years RACGP definition Not Active a patient not meeting the RACGP definition of active lt 15 mths has visited in the last 15 months lt 30 mths has visited in the last 30 months Date Range with from to date selection patients whose most recent visit occurred within a period of time The Date Range filter to note The Date Rang
104. t Refer to the Appendices for a list of medications mapping to each CAT medication HMR Current Rx screen gt Counts All Drugs listed as current medications PCS CLINICAL AUDIT TOOL USER GUIDE Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 89 of 110 COMPUTER SYSTEMS 12 4 APPENDIX 4 DIABETES SIP DATA CATEGORY MAPPINGS Diabetes SIP Item Medical Director Mapping 1 Clinical gt Diabetes Record gt Add Values OR Pathology HL7 results Eye Exam Clinical Diabetes Record Add Values BMI Clinical Diabetes Record Add Values OR Tools Weight Calculator BP Clinical Diabetes Record Add Values OR Tools gt BP Monitor gt Sitting Foot Exam Clinical Diabetes Record Add Values or Assessment Foot Exam or Podiatrist Attendance date entered Cholesterol Clinical Diabetes Record Add Values OR Pathology HL7 results Triglycerides Clinical Diabetes Record Add Values OR Pathology HL7 results HDL Clinical Diabetes Record Add Values OR Pathology HL7 results Microalbuminuria Clinical Diabetes Record Assessment OR Pathology HL7 results Smoking Patient Details Smoking tab Note that smoking data from the Diabetes record is not used Adding data to the diabetes record does not update the smoking tab which is taken as the primary MD smoking dat
105. t History screen gt Checks dates on history progress notes items Postcode Patient Details screen gt Postcode Allergy Medical Director Mapping Patient Details gt Allergies tab Allergy Recorded An Allergy Item is present No Known Allergies The No Known Allergies check box is checked Nothing Recorded No Allergy Items are present and the No Known Allergies check box is unchecked Smoking Medical Director Mapping Patient Details gt Smoking tab gt Note that smoking data from the Diabetes record is not used Adding data to the diabetes record does not update the smoking tab which is taken as the primary MD smoking data Daily Smoker Smoker Smoker is selected and frequency is daily Irregular Smoker Smoker Smoker is selected and frequency is not daily Ex Smoker Smoker Ex Smoker is selected Never Smoked Smoker Never smoked is selected Nothing Recorded Smoker has nothing selected PCS CLINICAL AUDIT TOOL USER GUIDE 12 3 APPENDIX B 3 GENERAL DATA CATEGORY MAPPINGS MD Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 87 of 110 V COMPUTER SYSTEMS Measurements Medical Director Mapping BMI Clinical gt Diabetes Record gt Add Values OR Tools gt Weight Calculator Cholesterol Clinical gt Diabetes Record gt Add Values OR Pathology HL7 results HDL Clinical gt
106. t specific user requirements License keys can be issued to users that provide access to the CACP and the required additional modules The license key is updated by entering the new issued license key at the login screen or in the preferences screen Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 16 of 110 P I PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER SYSTEMS 4 CAT USER INTERFACE Once the CAT software has been installed it is available from your Programs List Click Start gt All Programs gt Pen Computer Systems gt PCS Clinical Audit Enter your Account name and Authorisation key and click OK Once you have logged in the screen below will display You will see the population figure is initially 0 because you have not yet collected data from your clinical desktop system 5 PCS Clinical Audit Edt 3 Alges Smoking Dzeate Pao Seul Loide Cesinine HBATc BP Medesion Disbetes SIP Items NPCC Repor Evert Show Total Couris Dee 5 21 Demographic Breakdown by Age Females 0 Males CO Other D Ferale Male Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 17 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 4 1 Setting Your Preferences Your Preferences are set by selecting Edit gt Preferences from t
107. ted by date Patients with tick box Not Required checked are ignored Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 100 of 110 1 COMPUTER SYSTEMS Disease Best Practice Mapping Condition Past History screen gt Checks the condition selected on history items where Conditions are selected from a coded list Refer to Appendix C 1 for a list of conditions mapping to each CAT condition Medications Best Practice Mapping Medication Current Rx screen gt Checks the Drugs listed as current medications where Drugs are selected from a coded list Refer to Appendix C 2 for a list of medications mapping to each CAT medication HMR Current Rx screen gt Counts All Drugs listed as current medications PCS CLINICAL AUDIT TOOL USER GUIDE Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 101 of 110 SYSTEMS COMPUTER i Item Best Practice Mapping HbAic Enhanced Primary Care gt Diabetes Cycle of Care Eye Exam Enhanced Primary Care gt Diabetes Cycle of Care BMI Observations BP Observations Or Enhanced Primary Care gt Diabetes Cycle of Care Foot Exam Enhanced Primary Care gt Diabetes Cycle of Care Cholesterol Enhanced Primary Care gt Diabetes Cycle of Care Triglycerides Enhanced Primary Care gt Diabetes Cycle of Care HDL Enhanced Primary Care gt Diabetes Cycle of Care
108. tore the snap shots of your data for analysis by the Clinical Audit Tool If you prefer to store them somewhere else you can change this by selecting Edit Preferences from the top menu Setting your preferences is explained in the next section Setting Your Preferences Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 13 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE 1 COMPUTER i 3 1 Installing to a Desktop PC Clinical Audit needs to be installed under each profile login that will be using it on the PC That is if multiple people log on to the one PC and they each want to use Clinical Audit the installation needs to be repeated for each login The application generally only installs once but activates itself for the other logins on additional installs 3 2 Installing to Terminal Services or Citrix The only differences to the preceding installation instructions are the following 1 Clinical Audit needs to be installed on the SERVER gt Log on as the user via a Terminal Services or Citrix session and you will automatically be on the server Follow the installation instructions in the preceding section 2 Clinical Audit needs to be installed under each profile login that will be using it That is if multiple people will be using it the installation needs to be repeated for each login The application generally only installs once but activates itself for the other logins on add
109. u the progress of the install 175 Installing PCS Clinical Audit Installing PCS Clinical Audit This may take several minutes You can use your computer to do other tasks during the installation A a PCS Clinical Audit From wWwWw pencs com au Downloading 147 of 7 49 Cancel Once the install has completed the Clinical Audit Tool Login screen will appear Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 12 of 110 SYSTEMS P PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER i d 2 Clinical Audit Tool version Not Published Application version SYSTEMS 2012 Pen Computer Systems Pty Ltd Account Phone 61 2 3635 8355 Web www pencs com au Authorisation key Licence key optional kGaY lt Gya BafZqboBhwDScMCRMA7Jk515 Location Account name and Authorisation key enter the details provided to you License Key leave this empty unless you have been provided with a special key a key will be automatically generated for you at first login Click Ok The first time you login the dialog box below will pop up Default Data Directory i The default directory For the collected data is C ClinicalAudit This location can be changed in the Preferences dialog on the Edit menu This lets you know that the folder C ClinicalAudit on your PC will be used to s
110. which is converted to Mg dL 1 Mg dL 39 X 1 mmol L 5 Treatment is determined by examining the medication a patient is on CAT collect data for the following medication categories that are prescribed for BP ACE Inhibitors A2 Blockers Beta blockers Calcium Antagonists and Diuretics If a patient is on one of these they are considered as being treated Version 2 3 PEN COMPUTER SYSTEMS PTY LTD Page 57 of 110 SYSTEMS PCS CLINICAL AUDIT TOOL USER GUIDE COMPUTER 1 CV Event Risk displays your data as a breakdown of the 10 Year Risk of a Cardiovascular Event gt 20 15 19 10 14 5 9 and lt 5 The data is displayed as e Count per age range in a bar chart The graph provides a total population number the filtered population and an eligible population number The eligible population is the number of patients in your filtered dataset that can be assessed for risk ie patients that do not fall into one of the excluded groups The Count on the Count graph will show you the total of the patients graphed this is the per Hosea Dieci 2 Fies O2 Alleges Sackng BMI Pao Sees Disbetes SP lines Rapat Cl Evert HMR NPI Repo Court Exchsted andincorplete 10 Year Risk of a Cardiovascular Evers Total Pop 11776 Pop 7418 Coun 56 Ma 0001 15 292 D 83m De

PCS CLINICAL AUDIT TOOL USER GUIDE PEN COMPUTER

Contents

Download Pdf Manuals

Related Search

Related Contents